Individual
LORALYE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 STANTONSBURG RD, GREENVILLE, NC 27834-7534
(252) 847-1550
Mailing address
2325 STANTONSBURG RD, GREENVILLE, NC 27834-7534
(252) 624-4782
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010251
NC
Other
Enumeration date
02/07/2018
Last updated
04/06/2022
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