Individual
LORI CHRISTINE WALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5524 HOSPITAL N, 100500 MED CENTER, DURHAM, NC 27710-0001
(919) 681-5551
Mailing address
9517 MIRANDA DR, RALEIGH, NC 27617-7669
(919) 846-9405
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5004475
NC
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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