Provider Demographics
NPI:1659845212
Name:PEACEFUL BALANCE HEALTH & WELLNESS LLC
Entity Type:Organization
Organization Name:PEACEFUL BALANCE HEALTH & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:W
Authorized Official - Last Name:BOCK
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:717-440-0098
Mailing Address - Street 1:20 DANNAH DR
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-7924
Mailing Address - Country:US
Mailing Address - Phone:717-443-9970
Mailing Address - Fax:717-918-5784
Practice Address - Street 1:9 EAST HIGH STREET,
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-1701
Practice Address - Country:US
Practice Address - Phone:717-440-0098
Practice Address - Fax:717-918-5784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-17
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty