Individual
LORI CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4221 BLALOCK AVE, CHARLOTTE, NC 28210-6301
(704) 618-3448
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163008
NC
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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