Individual
LISA E. GARZONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4109
(704) 384-6533
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 638-1550
(704) 638-1559
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
930230
NC
363LN0000X
Neonatal Nurse Practitioner
930137
NC
Other
Enumeration date
06/06/2007
Last updated
10/29/2020
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