Individual
LISA MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
117 FOOTHILLS DR, MORGANTON, NC 28655-5152
(828) 580-5705
(828) 580-8033
Mailing address
117 FOOTHILLS DR, MORGANTON, NC 28655-5152
(828) 580-5705
(828) 580-8033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5009365
NC
Other
Enumeration date
03/15/2017
Last updated
06/02/2020
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