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Individual

MRS. LOLITA M. CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
49 HIGHCROFT DR, MORGANTOWN, PA 19543-8847
(610) 913-0745
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP004642D
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101419020 0001
PA
Enumeration date
09/16/2006
Last updated
12/24/2015
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