Individual
MS. LOIS J MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 S GEORGE ST, 3RD FLOOR, YORK, PA 17403-3676
(717) 851-4005
(717) 812-2495
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-4005
(717) 812-2495
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MA002620L
PA
363A00000X
Physician Assistant
C0000423
MD
363AM0700X
Medical Physician Assistant
MA002620L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1607789
GATEWAY MEDICARE ASSURED
PA
01
—
2696386
HIGHMARK BLUE SHIELD - FREEDOM BLUE
PA
Enumeration date
11/17/2006
Last updated
04/22/2022
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