Individual
LORIE A LISENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4000
Mailing address
347 LAKEHURST FARM RD, NORWOOD, NC 28128-6498
(704) 459-0030
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
085701
NC
Other
Enumeration date
01/10/2011
Last updated
10/27/2020
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