Individual
MR. ROGER LAVERNE HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104A S MAIN ST, LEXINGTON, NC 27292-3134
(336) 242-2450
(336) 249-9920
Mailing address
284 EXECUTIVE PARK DR, STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
900423
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6113061
—
NC
Enumeration date
01/16/2008
Last updated
11/27/2023
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