Individual
LORD NACEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
G.C.
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
50597
NC
171WH0202X
Home Modifications Contractor
Primary
50597
NC
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
Update your record
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