Individual
MRS. LISA DAWN ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 E FORT MACON RD, ATLANTIC BEACH, NC 28512-5633
(252) 241-0670
(252) 240-8447
Mailing address
2301 E FORT MACON RD, ATLANTIC BEACH, NC 28512-5633
(252) 241-0670
(252) 240-8447
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/20/2005
Last updated
07/08/2007
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