Individual
MRS. LIDIA LOURDES CARROLL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
(910) 482-5174
Mailing address
108 LIVE OAK DR, RAEFORD, NC 28376-8236
(910) 904-1732
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
A-4168
NC
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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