Lois E Boerboom, RN is a
Registered Nurse based in Walnut Grove, Minnesota. Lois E Boerboom is licensed to practice in Minnesota (license number R91174-6) and her current practice location is
15402 140th St, Walnut Grove, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(507) 859-2582.
NPI number for Lois E Boerboom is 1184929952 and her current mailing address is 15402 140th St, Walnut Grove, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184929952.
Provider's Profile
| Full Name | Lois E Boerboom |
|---|
| Gender | Female |
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| Speciality | Registered Nurse |
|---|
| Location | 15402 140th St, Walnut Grove, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184929952
- Provider Enumeration Date: 01/25/2011
- Last Update Date: 02/02/2011
Medical Identifiers
Medical identifiers for Lois E Boerboom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184929952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | R91174-6 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lois E Boerboom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lois E Boerboom, RN
15402 140th St,
Walnut Grove, MN 56180-5311
Ph: (507) 859-2582 | Lois E Boerboom, RN
15402 140th St,
Walnut Grove, MN 56180-5311
Ph: (507) 859-2582 |
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