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Individual
SALLY LALIBERTE
Active
Individual
SALLY LALIBERTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
200944
NC
363L00000X
Nurse Practitioner
200944
NC
363LF0000X
Family Nurse Practitioner
Primary
200944
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200944
NC #LIC
NC
Enumeration date
11/09/2005
Last updated
03/07/2023
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