Individual
MRS. LAKEISHA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
160 MORNING DOVE LN, STATESVILLE, NC 28625-2709
(704) 500-7411
Mailing address
160 MORNING DOVE LN, STATESVILLE, NC 28625-2709
(704) 500-7411
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
BARE-COIQM
NC
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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