Individual
DR. LUCIANNE CRONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.,PH.D.
Contact information
Practice address
1006 UNION RD STE D, GASTONIA, NC 28054-5591
(704) 810-0006
(704) 375-6133
Mailing address
1645 NASSAU BLVD, CHARLOTTE, NC 28205-3564
(704) 375-5298
(704) 375-6133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200959
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
200959
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200959
R.N.
NC
05
—
6005038
—
NC
01
—
80567
N.P.
NC
Enumeration date
12/28/2006
Last updated
05/15/2019
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