Organization
LUMBERTON CARE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI LISA D CAMPBELL FNP (OWNER/PROVIDER)
(910) 613-7441
Entity
Organization
Contact information
Practice address
4307 FAYETTEVILLE RD, LUMBERTON, NC 28358-2676
(910) 740-5505
Mailing address
4307 FAYETTEVILLE RD, LUMBERTON, NC 28358-2676
(910) 613-7441
(910) 226-7572
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005090
—
NC
Enumeration date
01/06/2022
Last updated
10/04/2022
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