Individual
DR. LISA GAYLE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
123 PROFESSIONAL PARK DR, 101, MOORESVILLE, NC 28117
(704) 662-7081
(704) 663-5693
Mailing address
123 PROFESSIONAL PARK DR, 101, MOORESVILLE, NC 28117
(704) 662-7081
(704) 663-5693
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29771
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29771
NC LICENSE
NC
05
—
8954098
—
NC
Enumeration date
11/17/2006
Last updated
03/07/2023
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