Individual
LISA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
178 TURNERSBURG HWY, STATESVILLE, NC 28625-2890
(704) 872-6355
Mailing address
178 TURNERSBURG HWY, STATESVILLE, NC 28625-2890
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5014500
NC
Other
Enumeration date
06/02/2021
Last updated
06/18/2021
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