Individual
LACIE KATZ BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2400 W FRIENDLY AVE, GREENSBORO, NC 27403-1109
(336) 832-1100
Mailing address
2400 W FRIENDLY AVE, GREENSBORO, NC 27403-1109
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010763
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5010763
NORTH CAROLINA BOARD OF NURSING, NP PRESCRIBING NUMBER
NC
Enumeration date
07/22/2018
Last updated
08/26/2021
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