Individual
LISA PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT 7027
Contact information
Practice address
513 NEW BRIDGE ST, JACKSONVILLE, NC 28540-5430
(910) 546-3422
Mailing address
513 NEW BRIDGE ST, JACKSONVILLE, NC 28540-5430
(910) 546-3422
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7027
NC
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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