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Individual

LISA G DABNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1165 CEDAR POINT BLVD STE H, CEDAR POINT, NC 28584-1030
(252) 499-6850
(252) 393-1019
Mailing address
302 MEDICAL PARK CT, MOREHEAD CITY, NC 28557-4346
(252) 247-2013
(252) 247-7299

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9601585
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080140359
RAILROAD MEDICARE
05
8911294
NC
Enumeration date
12/07/2005
Last updated
12/27/2017
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