Individual
LANITA BREEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 COLLEGE ST, OXFORD, NC 27565-2507
(919) 690-3237
(919) 690-3213
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1540
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
40175
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051716
—
NC
Enumeration date
02/26/2007
Last updated
03/31/2021
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