Individual
MRS. LANA ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1640 ROYAL TROON CT, DENVER, NC 28037-5519
(864) 320-1421
Mailing address
1640 ROYAL TROON CT, DENVER, NC 28037-5519
(864) 320-1421
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F07181356F
NC
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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