Individual
WELLO LOMBAHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
131 WELTON WAY, MOORESVILLE, NC 28117-9163
(704) 360-4564
(704) 360-4553
Mailing address
131 WELTON WAY, MOORESVILLE, NC 28117-9163
(704) 360-4564
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5011845
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
5011845
NC
Other
Enumeration date
06/10/2019
Last updated
09/07/2021
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