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Organization
LUMBER RIVER FAMILY PRACTICE PLLC
Active
Organization
LUMBER RIVER FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ROBERTS MD (MEDICAL DIRECTOR)
(910) 618-7139
Entity
Organization
Contact information
Practice address
105 FARM BROOK DR, LUMBERTON, NC 28358-2179
(910) 738-7789
Mailing address
105 FARM BROOK DR, LUMBERTON, NC 28358-2179
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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