Individual
LISA NICOLE MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 ROSEMONT DR STE 120, FORT MILL, SC 29707-7765
(803) 548-8100
Mailing address
3024 VENTOSA DR, CHARLOTTE, NC 28205-3241
(803) 548-8100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21710
SC
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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