Individual
JOANNE D LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1057 CEDAR POINT BLVD, UNIT D, CEDAR POINT, NC 28584-8020
(252) 764-2121
(252) 764-2135
Mailing address
1057 CEDAR POINT BLVD, UNIT D, CEDAR POINT, NC 28584-8020
(252) 764-2121
(252) 764-2135
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201471
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003903
—
NC
01
—
DF8530
RAILROAD MEDICARE
NC
Enumeration date
06/01/2006
Last updated
10/17/2014
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