Individual
LAKESHA NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 MCCULLOUGH DR, CHARLOTTE, NC 28262-3310
(704) 649-9904
Mailing address
10119 FIELDSTONE CT, CHARLOTTE, NC 28269-2007
(704) 649-9904
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
259543
NC
Other
Enumeration date
10/02/2020
Last updated
12/10/2020
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