Individual
MS. ELIZABETH LAEL VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(310) 467-1926
Mailing address
434 MORCROFT LN, DURHAM, NC 27705-5659
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG1116105
NC
Other
Enumeration date
03/10/2017
Last updated
09/07/2023
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