Individual
LOURINE KISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9860 DARBY CREEK AVE NW, CONCORD, NC 28027-8212
(718) 570-2601
Mailing address
9860 DARBY CREEK AVE NW, CONCORD, NC 28027-8212
(718) 570-2601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023192905
NC
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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