| Doctor Name: | TARA VAN DRUNEN |
| NPI Number: | 1598787442 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A93666 |
| Business Practice Address: | 100 Brewster Blvd Naval Hospital Camp Lejeune, NC - 285472538 |
| Business Phone Number: | 9104503905 |
| Business Fax Number: | 9104504558 |
| Mailing Address: | 100 Brewster Blvd, Naval Hospital CAMP LEJEUNE |
| State: | NC |
| Postal Code: | 285472538 |
| Phone Number: | 9104503905 |
| Fax Number: | 9104504558 |
| NPI Enumeration Date: | 07/23/2006 |
| NPI Last Update Date: | 10/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A93666 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |