Provider Demographics
NPI:1053679381
Name:FOEHRINGER, LOIS (RN PHN)
Entity Type:Individual
Prefix:MS
First Name:LOIS
Middle Name:
Last Name:FOEHRINGER
Suffix:
Gender:F
Credentials:RN PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2356 UNIVERSITY AVE W
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1853
Mailing Address - Country:US
Mailing Address - Phone:651-556-9329
Mailing Address - Fax:651-556-0880
Practice Address - Street 1:2356 UNIVERSITY AVE W
Practice Address - Street 2:SUITE 210
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1853
Practice Address - Country:US
Practice Address - Phone:651-556-9329
Practice Address - Fax:651-556-0880
Is Sole Proprietor?:No
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR083632-6163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management