Individual
MRS. LORRAINE KAY NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1881 PISGAH DR, BUILDING A, HENDERSONVILLE, NC 28791-3760
(828) 697-4336
(828) 694-6756
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-6282
(828) 687-6285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9701081
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1082M
BCBS NC
—
05
—
891082M
—
NC
01
—
P00466507
MEDICARE RAILROAD
NC
Enumeration date
12/05/2005
Last updated
05/20/2009
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