Individual
LYDIA ASPER SWACKHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2706 MEDICAL OFFICE PLACE, GOLDSBORO, NC 27534-9460
(919) 734-4736
(919) 580-1017
Mailing address
2706 MEDICAL OFFICE PLACE, GOLDSBORO, NC 27534-9460
(919) 734-4736
(919) 580-1017
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201195
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201195
NC CPNP LICENSE
NC
Enumeration date
01/02/2007
Last updated
03/30/2021
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