Individual
LANE PURSER THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
445 DOLLEY MADISON RD STE 100, GREENSBORO, NC 27410-5166
(336) 649-9000
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5009240
NC
Other
Enumeration date
11/30/2016
Last updated
11/18/2024
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