Individual
LORENA DUNBAR MAUNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4734 LONG BEACH RD SE, SOUTHPORT, NC 28461-8721
(910) 457-0070
(910) 267-8936
Mailing address
4734 LONG BEACH RD SE, SOUTHPORT, NC 28461-8721
(910) 457-0070
(910) 267-8936
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5009942
NC
363LF0000X
Family Nurse Practitioner
Primary
5009942
NC
Other
Enumeration date
10/05/2017
Last updated
07/09/2019
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