MEDICARE: LOIS A. FRANZEN APRN NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	110801	NE
2	363LF0000X	Family Nurse Practitioner	CP000597	SD

General Provider Information

NPI Number	:	1841359676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOIS A. FRANZEN APRN NP-C

Provider Business Mailing Address
First Line	:	173 PRAIRIE BND
Second Line	:
City	:	DAKOTA DUNES
State	:	SD
Zip	:	57049-5168
Country	:	US
Telephone Number	:	605-422-0124
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 E MAIN ST
Second Line	:
City	:	ELK POINT
State	:	SD
Zip	:	57025-2334
Country	:	US
Telephone Number	:	605-356-3317
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2006
Last Update Date	:	11/27/2012

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