Individual
LYDIA GORRETTE KATIKIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1013 PEACHTREE TOWN LN, KNIGHTDALE, NC 27545-9624
(919) 985-9098
Mailing address
1013 PEACHTREE TOWN LN, KNIGHTDALE, NC 27545-9624
(919) 985-9098
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03220364
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F03220364
LICENSE NUMBER
NC
Enumeration date
03/15/2022
Last updated
03/15/2022
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