Individual
SUSAN LANDER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
508 FULTON ST, VAMC, 11C, DURHAM, NC 27705
(919) 286-0411
Mailing address
7023 CALAIS DR, DURHAM, NC 27712-9645
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30002248
WA
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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