Marilyne L Louis, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA052041 Issued in PA

Practice address

401 North Fairview St
Lock Haven Health Services
Lock Haven, PA 17745-2303

Phone

(570) 484-2276

Fax

(570) 484-2522

NPI assigned

Sep 9, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1780966374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NORTH FAIRVIEW ST",
            "address_2": "LOCK HAVEN HEALTH SERVICES",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452303",
            "telephone_number": "570-484-2276",
            "fax_number": "570-484-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NORTH FAIRVIEW ST",
            "address_2": "LOCK HAVEN HEALTH SERVICES",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452303",
            "telephone_number": "570-484-2276",
            "fax_number": "570-484-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "MARILYNE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kierston Jo Long
• Rhonda Lynn Long, LPN
• Katherin Marion Lorson, PA-C
• Lacy Marie Lose
• Louis S. Winner, Jr., D.D.S., P.a.
• Acacia M Lucas, COTA/L
• Andrea Danielle Luke, DC
• Lycoming Internal Medicine, Inc.
• Ryan P Lynch, ATC
• Lynn a Bruner

• Medical Physician Assistant in Lock Haven, PA
• Providers in Lock Haven, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.