Provider Demographics
NPI:1104922913
Name:FREEMAN, LOIS ANN (CRNP)
Entity type:Individual
Prefix:MISS
First Name:LOIS
Middle Name:ANN
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5205 W NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-6546
Mailing Address - Country:US
Mailing Address - Phone:410-448-2864
Mailing Address - Fax:
Practice Address - Street 1:2600 LIBERTY HEIGHTS AVE
Practice Address - Street 2:ONE HEART LLC
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215
Practice Address - Country:US
Practice Address - Phone:410-383-4135
Practice Address - Fax:410-383-4830
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR059612363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner