Individual
LISA OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1000 CORPORATE DR, SUITE 401, HILLSBOROUGH, NC 27278-8535
(919) 643-5502
(919) 543-5550
Mailing address
200 MAHONE ST, #11, DURHAM, NC 27713-8933
(919) 643-5502
(919) 643-5550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306875695
—
NC
Enumeration date
03/26/2007
Last updated
07/09/2007
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