Individual
LORI SUE LEISENRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
206 HASTINGS LN, ELIZABETH CITY, NC 27909-3324
(252) 335-1083
(252) 335-4030
Mailing address
206 HASTINGS LN, ELIZABETH CITY, NC 27909-3324
(252) 335-1083
(252) 335-4030
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012584
NC
Other
Enumeration date
01/08/2020
Last updated
05/28/2024
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