Provider Demographics
NPI:1013486893
Name:LAUVER, LOIS
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:
Last Name:LAUVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LOIS
Other - Middle Name:
Other - Last Name:ZIMMERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7345 FISHING CREEK VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-9679
Mailing Address - Country:US
Mailing Address - Phone:717-469-7512
Mailing Address - Fax:
Practice Address - Street 1:5125 JONESTOWN RD STE 371
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-2983
Practice Address - Country:US
Practice Address - Phone:717-540-3906
Practice Address - Fax:717-540-9781
Is Sole Proprietor?:No
Enumeration Date:2018-11-21
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034180L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist