Provider Demographics
NPI:1831374958
Name:HALPIN, LOIS A (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:A
Last Name:HALPIN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5537 EXPRESSWAY DR N
Mailing Address - Street 2:
Mailing Address - City:HOLTSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11742-1316
Mailing Address - Country:US
Mailing Address - Phone:631-758-3336
Mailing Address - Fax:631-758-9709
Practice Address - Street 1:5537 EXPRESSWAY DR N
Practice Address - Street 2:
Practice Address - City:HOLTSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11742-1316
Practice Address - Country:US
Practice Address - Phone:631-758-3336
Practice Address - Fax:631-758-9709
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF302543-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health