Individual
DONNA LEWELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Mailing address
41817B LOOP RD, NORWOOD, NC 28128-7767
(910) 220-9300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
64628
NC
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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