MRS. Lisa Marie Vander Wall, R.N., CF-M

NPI #1114061785 in Maywood, Illinois

Provider Information

NPI Number
1114061785
Entity Type
Individual
Name
MRS. Lisa Marie Vander Wall, R.N., CF-M
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - Oncology
Credential
R.N., CF-M
Enumeration Date
Feb 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2160 S 1ST AVE
ZIP Code
60153-3328
Phone
(708) 327-2058

Specialties & Taxonomy Codes

Specialty
Registered Nurse - OncologyOncology

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