Individual
DR. COURTNEY ALICE LISBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10226 COULOAK DR, CHARLOTTE, NC 28216-7675
(704) 801-7380
Mailing address
10226 COULOAK DR, CHARLOTTE, NC 28216-7675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023-00628
NC
Other
Enumeration date
03/03/2015
Last updated
01/28/2024
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