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Individual

MRS. LISA M MASISAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN BSN

Contact information

Practice address
206 N CAPPS ST, PINE LEVEL, NC 27568-9059
(919) 376-7787
Mailing address
206 N CAPPS ST, PINE LEVEL, NC 27568-9059
(919) 376-7787

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
320438
NC

Other

Enumeration date
10/13/2025
Last updated
10/13/2025
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