Lola M Dixon, APN is a
Nurse Practitioner - Family based in Hines Va, Illinois. Lola M Dixon is licensed to practice in Illinois (license number ) and her current practice location is
5th Ave, Sci 128, Hines Va, Illinois. She can be reached at her office (for appointments etc.) via phone at
(707) 202-2702.
NPI number for Lola M Dixon is 1174537880 and her current mailing address is 6939 97th St, Chicago Ridge, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174537880.
Provider's Profile
Full Name | Lola M Dixon |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 5th Ave, Hines Va, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174537880
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Lola M Dixon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174537880 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | (Illinois) | 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. Lola M Dixon 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 |
Lola M Dixon, APN 6939 97th St, Chicago Ridge, IL 60415-1187 Ph: (708) 233-9883 | Lola M Dixon, APN 5th Ave, Sci 128, Hines Va, IL 60141 Ph: (707) 202-2702 |
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