Individual
LISA MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10115 PINESHADOW DR, #205, CHARLOTTE, NC 28262-1171
(336) 340-5636
Mailing address
PO BOX 5966, CONCORD, NC 28027-1516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
161519
NC
163W00000X
Registered Nurse
9270554
FL
Other
Enumeration date
01/03/2009
Last updated
01/03/2009
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