Individual
MRS. LISA GRAY POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2818 NEUSE BLVD, NEW BERN, NC 28562
(252) 636-4920
(252) 636-4970
Mailing address
PO DRAWER 12610, 2818 NEUSE BLVD, NEW BERN, NC 28562
(252) 636-4920
(252) 636-4970
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
12177
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383
NC CNM
NC
01
—
ZM0000024
NC PHARMACY BOARD
NC
Enumeration date
04/12/2007
Last updated
07/08/2007
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