Individual
MRS. LOVINA; TAKON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4000
Mailing address
720 WINBORNE AVE, CONCORD, NC 28025-7073
(980) 255-0095
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013766
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
NC
Enumeration date
10/22/2020
Last updated
11/25/2020
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