Individual provider · Type 1 NPI
Lisa Marie Vander Wall, R.N., CF-M
Oncology Registered Nurse · Maywood, IL
NPI number
1114061785
Active
Practice location
2160 S 1st Ave
Maywood, IL 60153-3328
Mailing address
804 Belot Ln
New Lenox, IL 60451-9258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oncology Registered Nurse Primary | 163WX0200X | None listed |
Oncology Registered Nurse: Definition to come...
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About NPI 1114061785
Lisa Marie Vander Wall, R.N., CF-M's National Provider Identifier is 1114061785, issued on Feb 16, 2007. The primary taxonomy on file is Oncology Registered Nurse (163WX0200X), and the practice location is in Maywood, IL. The record was last updated on Jul 8, 2007.