Provider Demographics
NPI:1114519899
Name:CARTER, LOIS ALICE
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:ALICE
Last Name:CARTER
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 1:821 FOXCROFT CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40505-1616
Mailing Address - Country:US
Mailing Address - Phone:859-967-8434
Mailing Address - Fax:
Practice Address - Street 1:821 FOXCROFT CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-1616
Practice Address - Country:US
Practice Address - Phone:859-967-8434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider