Provider Demographics
NPI:1427744911
Name:YAW, LOIS MAHALA
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:MAHALA
Last Name:YAW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9200 WEST PIKE
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43746-9719
Mailing Address - Country:US
Mailing Address - Phone:740-221-9307
Mailing Address - Fax:
Practice Address - Street 1:124 HAMLINE AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-4035
Practice Address - Country:US
Practice Address - Phone:740-221-9307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker