Provider Demographics
NPI:1265549703
Name:LOIS A. NARR, DO, LLC
Entity type:Organization
Organization Name:LOIS A. NARR, DO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:NARR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:410-901-2000
Mailing Address - Street 1:100 BRAMBLE STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613
Mailing Address - Country:US
Mailing Address - Phone:410-901-2000
Mailing Address - Fax:410-901-2319
Practice Address - Street 1:100 BRAMBLE STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613
Practice Address - Country:US
Practice Address - Phone:410-901-2000
Practice Address - Fax:410-901-2319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD613MMedicare ID - Type Unspecified