| Lois R Halleck, NURSE PRACTITIONER | |
|
141 S Black Horse Pike, Suite 104, Blackwood, NJ 08012-2975 | |
| (856) 292-8216 | |
| (856) 848-3011 |
| Full Name | Lois R Halleck |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 141 S Black Horse Pike, Blackwood, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538262704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 26NR05584600 (New Jersey) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 26NJ00003800 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lois R Halleck, NURSE PRACTITIONER 141 S Black Horse Pike, Suite 104, Blackwood, NJ 08012-2975 Ph: (856) 292-8216 | Lois R Halleck, NURSE PRACTITIONER 141 S Black Horse Pike, Suite 104, Blackwood, NJ 08012-2975 Ph: (856) 292-8216 |