Individual
AMY LENFESTEY GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 PRESTON EXECUTIVE DR STE 108, CARY, NC 27513-8447
(919) 653-1344
Mailing address
PO BOX 16536, CHAPEL HILL, NC 27516-6536
(919) 653-1344
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101260451
VA
Other
Enumeration date
04/12/2012
Last updated
11/27/2018
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