Lisa De Zoute NP

NPI 1730569088 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1730569088
Gender Female
Enumeration Date 06/02/2015
Last Updated 06/02/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
12508 S HARLEM AVE
PALOS HEIGHTS IL, 60463-1597, US
Phone (708) 671-1685
Fax
Business Location
12508 S HARLEM AVE
PALOS HEIGHTS IL, 60463-1597, US
Phone
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Illinois
License Number 209012809
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According to our database, Lisa De Zoute NP NPI is 1730569088, taxonomy code is 363LA2200X and license number is 209012809, license state is located at Illinois. Lisa De Zoute NP physically located at 12508 S Harlem Ave, Palos Heights IL, 60463-1597. NPI Number Lisa De Zoute NP has the Individual type.

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1730569088 NPI number is provided on an as is basis without warranty of any kind. 1730569088 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa De Zoute NP are for informational purposes only.