Individual
LISA C NELSON-ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 NASH MEDICAL ARTS MALL, SUITE A, ROCKY MOUNT, NC 27804-0000
(252) 937-0227
(252) 937-3105
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0200
(252) 451-0056
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36785
NC
2086S0129X
Vascular Surgery Physician
36785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20024903
RAILROAD MEDICARE
NC
01
—
51701
MEDCOST
NC
01
—
72015
BCBSNC
NC
01
—
722495
CIGNA HEALTHCARE
NC
05
—
8972015
—
NC
Enumeration date
09/07/2005
Last updated
03/30/2015
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