Individual
LESLEY LAUREN LODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9617
(828) 326-3809
(828) 326-3371
Mailing address
PO BOX 890041, CHARLOTTE, NC 28289-0041
(828) 326-3809
(828) 326-3371
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
182872
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182872
NC-RN LICENSE
NC
05
—
7004482
—
NC
05
—
8052895
—
NC
Enumeration date
05/22/2007
Last updated
11/29/2007
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