Individual
MRS. LOIS E VANAKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1250 SISKIYOU BLVD, SOU STUDENT HEALTH & WELLNESS CENTER, ASHLAND, OR 97520
(541) 552-6136
(541) 552-6693
Mailing address
1250 SISKIYOU BLVD, SOU STUDENT HEALTH & WELLNESS CENTER, ASHLAND, OR 97520
(541) 552-6136
(541) 552-6693
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
083045257N1
OR
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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