Provider Demographics
NPI:1396097267
Name:HARROLD, LOIS LOCKWOOD (CRNP)
Entity type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:LOCKWOOD
Last Name:HARROLD
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 1:1421 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-2610
Mailing Address - Country:US
Mailing Address - Phone:215-572-7880
Mailing Address - Fax:215-572-8024
Practice Address - Street 1:1421 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-2610
Practice Address - Country:US
Practice Address - Phone:215-572-7880
Practice Address - Fax:215-572-8024
Is Sole Proprietor?:No
Enumeration Date:2012-10-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP000783B363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics