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Individual

DR. LUCY YARBROUGH DESPORTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3468
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3468

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2005-01207
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000296463
UNISON HEALTH PLAN OF SC
SC
01
01152109
AMERIGROUP OF SC
SC
01
182378
MEDCOST
NC
01
20096154
SELECT HEALTH OF SC
SC
01
32675
CIGNA/OPTICARE
NC
01
5823186
CIGNA HEALTHCARE
NC
05
5901831
NC
01
773936
WELLCARE
SC
01
773936
WELLCARE
01
7921752
AETNA
NC
01
806943
COMMUNITY EYE CARE
NC
01
BCBS
141GE
NC
05
N07005
SC
01
P0027725
RAILROAD MEDICARE
Enumeration date
05/04/2006
Last updated
05/03/2018
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