Individual
KATHLEEN WILKIN LAGESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
134 MEDICAL PARK RD STE 200, MOORESVILLE, NC 28117-8527
(980) 302-7800
(980) 302-7805
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 302-7800
(980) 302-7805
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5008961
NC
363LA2200X
Adult Health Nurse Practitioner
5008961
NC
Other
Enumeration date
09/26/2016
Last updated
07/25/2024
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