Individual
MRS. MARY ELLEN NONE LUSSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 682-7007
Mailing address
2009 RAYCONDA PL, FAYETTEVILLE, NC 28304-0482
(910) 717-5095
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
57027
NC
Other
Enumeration date
02/03/2007
Last updated
07/08/2007
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