Individual
DR. LONNIE CLAY HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 PROVIDENCE RD, CHARLOTTE, NC 28207-1218
(704) 973-2106
(704) 973-2395
Mailing address
1900 RANDOLPH RD, SUITE 500, CHARLOTTE, NC 28207-1122
(704) 384-9113
(704) 316-0508
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
17980
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8939658
—
NC
Enumeration date
10/28/2005
Last updated
07/08/2007
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