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Individual

MS. LALISA GREENE CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
144 RESERVATION DR, SPINDALE, NC 28160-1566
(828) 287-0200
Mailing address
PO BOX 96860, CHARLOTTE, NC 28296-6860
(828) 287-0200

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201661
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508860271
NC
05
7000823
NC
Enumeration date
06/09/2005
Last updated
10/03/2025
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