Provider Demographics
NPI:1386412450
Name:BAAS, LOIS L (BSN, RN)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:L
Last Name:BAAS
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3715 78TH AVENUE CT W APT N201
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466-8405
Mailing Address - Country:US
Mailing Address - Phone:616-416-0072
Mailing Address - Fax:
Practice Address - Street 1:3715 78TH AVENUE CT W APT N201
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-8405
Practice Address - Country:US
Practice Address - Phone:616-416-0072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704169903163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse