Individual
MALIA ALLEGRA LONERGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3710 HIGH POINT RD, GREENSBORO, NC 27407-4646
(336) 299-6242
(336) 299-7862
Mailing address
3710 HIGH POINT RD, GREENSBORO, NC 27407-4646
(336) 299-6242
(336) 299-7862
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-05220
NC
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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