Individual
LISA PAULINE BUNDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT, RCP
Contact information
Practice address
115 E MAIN ST STE 18, WILLIAMSTON, NC 27892-2482
(252) 792-1659
(252) 792-2043
Mailing address
PO BOX 1041, WILLIAMSTON, NC 27892-1041
(252) 792-1659
(252) 792-2043
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
3475
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7492757
—
NC
Enumeration date
04/08/2009
Last updated
07/03/2009
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