Individual
LISA M POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
603 DOLLEY MADISON RD STE 100, GREENSBORO, NC 27410-4282
(336) 632-3505
(336) 665-6188
Mailing address
603 DOLLEY MADISON RD STE 100, GREENSBORO, NC 27410-4282
(336) 632-3505
(336) 665-6188
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
950023
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
950023
NC
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
950023
NC
Other
Enumeration date
06/03/2006
Last updated
11/14/2019
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