Individual
DARLA LILLEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
428 E 4TH ST, SUITE 333, CHARLOTTE, NC 28202-2434
(980) 819-1329
Mailing address
428 E 4TH ST, SUITE 333, CHARLOTTE, NC 28202-2434
(980) 819-1329
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
753135
NC
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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