Individual
LYASIA NYKOA HAZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY DRIVE, PEMBROKE, NC 28372
(910) 521-6000
Mailing address
1 UNIVERSITY DRIVE, PEMBROKE, NC 28372
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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