Individual
LASHONE M BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3315 GUESS RD UNIT 9, DURHAM, NC 27705-6907
(919) 286-2000
Mailing address
1222 BERKELEY ST, DURHAM, NC 27705-3531
(919) 810-5267
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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