Individual
MRS. MARILYNE L LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
401 NORTH FAIRVIEW ST, LOCK HAVEN HEALTH SERVICES, LOCK HAVEN, PA 17745-2303
(570) 484-2276
(570) 484-2522
Mailing address
401 NORTH FAIRVIEW ST, LOCK HAVEN HEALTH SERVICES, LOCK HAVEN, PA 17745-2303
(570) 484-2276
(570) 484-2522
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052041
PA
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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