Individual
LORI DEANNA SUGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 SAINT PAUL AVE, FAYETTEVILLE, NC 28304-5239
(910) 728-5019
Mailing address
1925 SAINT PAUL AVE, FAYETTEVILLE, NC 28304-5239
(910) 728-5019
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
71677
NC
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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