Individual
DR. LISA BOOKERT CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1421 E LANE ST, RALEIGH, NC 27610-2323
(919) 218-0560
Mailing address
1421 E LANE ST, RALEIGH, NC 27610-2323
(919) 218-0560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30780
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16757
BLUE CROSS
NC
05
—
8916757
—
NC
Enumeration date
03/09/2007
Last updated
09/04/2015
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