Individual
LOIS FALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
46900 OCEAN DR, GUALALA, CA 95445-8353
(707) 884-4005
(707) 884-9728
Mailing address
PO BOX 1100, GUALALA, CA 95445-1100
(707) 884-4005
(707) 884-9728
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP2525
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC03906F
—
CA
Enumeration date
09/28/2006
Last updated
10/26/2011
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