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Individual

DOLORES LEHMAN COUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
380 COPPERFIELD BLVD NE, CONCORD, NC 28025-2402
(704) 403-1800
(704) 403-1836
Mailing address
380 COPPERFIELD BLVD NE, CONCORD, NC 28025-2402
(704) 403-1800
(704) 403-1836

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
950007
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6005018
NC
Enumeration date
02/28/2006
Last updated
12/04/2013
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