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Individual

MRS. AMBER LYNN LANKFORD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
124 PROFESSIONAL PARK DR, STE C, MOORESVILLE, NC 28117
(704) 658-1095
(704) 658-1097
Mailing address
207 SOUTH BROAD STREET, STE 2, MOORESVILLE, NC 28115
(704) 660-6551
(704) 660-9894

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
079P4
BCBS
Enumeration date
06/12/2006
Last updated
07/08/2007
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