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 |
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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 |