Individual
LASHAUNDA RAE MCCLARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
PO BOX 535395, ATLANTA, GA 30353-5321
(919) 350-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201228
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
201228
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8054083
—
NC
Enumeration date
06/07/2011
Last updated
03/14/2012
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