Van Dam, Lorene Ann
Van Dam, Lorene Ann is an sole proprietor health care provider with primary practice located at 4870 W Kingsbury St , Springfield MO 65802-7710. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Van Dam, Lorene Ann can be contacted via phone (417) 299-7602.Contact Information
Primary practice address
4870 W Kingsbury St
Springfield MO 65802-7710
Phone: (417) 299-7602
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 686 | Missouri |
Profile Details
| NPI number | 1265588479 |
|---|---|
| LBN Legal business name | Van Dam, Lorene Ann |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2007 |
| Last updated | Jun 10th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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