Most Relevant Information
Provider Data
| NPI Number: | 1003358268 |
| Provider Name: | LAVETTA JEAN FOX R.N. |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R33502 |
Most Important Dates
| Enumeration Date: | 11/04/2016 |
| Last Updated: | 11/04/2016 |
Provider Practice Location
3315 UNIVERSITY DR
BISMARCK
ND
585047565
Practice Location Phone/Fax
| Phone: | 7012553541 |
| Fax: |
Provider Mailing Location
3315 UNIVERSITY DR
BISMARCK
ND
585047565
Provider Mailing Phone/Fax
| Phone: | 7012553541 |
| Fax: |