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Individual

LOIS DOMINIQUE WOODSIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3461 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4302
(215) 823-4526
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ15452500
NJ
363L00000X
Nurse Practitioner
Primary
RN614739
PA
363LP2300X
Primary Care Nurse Practitioner
RN614739
PA

Other

Enumeration date
08/02/2013
Last updated
12/09/2025
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