Individual ProviderLori K GolaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address140 N Pointe Blvd, Lancaster, PA 17601-4132(717) 291-0700(717) 851-1405PECOS EnrollmentThis provider is enrolled in PECOS as LORI GOLA.Based on the most recent information from CMS, provider Lori K Gola is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1700371440Provider TypeIndividualFull NameGola, Lori KCredentialCRNPGenderFemaleSole ProprietorNoEnumeration Date6/26/2018Last Updated1/27/2025Contact InformationPractice LocationPractice Address140 N Pointe Blvd, Lancaster, PA 17601-4132Phone(717) 291-0700FaxUnlisted FaxMailing LocationMailing Address601 Memory Ln, York, PA 17402-2231Phone(717) 851-1405FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseSP019002PennsylvaniaCode163WG0000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN561782Pennsylvania