Healthcare Provider Details

I. General information

NPI: 1629048574
Provider Name (Legal Business Name): LOIS A KRONENWETTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 03/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 HARRISBURG PIKE SUITE 327
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

PO BOX 229
EAST PETERSBURG PA
17520
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-3216
  • Fax: 717-544-3096
Mailing address:
  • Phone: 717-581-9356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD041116E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number04166E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: