Individual
MRS. LAVON HINSHAW DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4557 TECHNOLOGY DR STE 5, WILMINGTON, NC 28405-2145
(252) 946-7618
(252) 946-7618
Mailing address
6626 US HIGHWAY 264 E, WASHINGTON, NC 27889-7606
(252) 946-3317
(252) 946-7618
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
—
—
156FX1700X
Ocularist
Primary
—
—
246RM2200X
Medical Laboratory Technician
—
—
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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