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Individual

DR. MARIA LOURDES C AUSTRIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
509 OLDE WATERFORD WAY, SUITE 203, LELAND, NC 28451-4125
(910) 383-3883
(910) 383-6802
Mailing address
509 OLDE WATERFORD WAY, SUITE 203, LELAND, NC 28451-4125
(910) 383-3883
(910) 383-6802

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200100118
NC
208000000X
Pediatrics Physician
D0052377
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89128U5
NC
Enumeration date
03/22/2007
Last updated
05/23/2008
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