Individual
LISA PEGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2414 COLONY WOODS DR, APEX, NC 27523-4881
(919) 268-1073
Mailing address
2414 COLONY WOODS DR, APEX, NC 27523-4881
(919) 268-1073
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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