Individual
MS. LESHARO LASHEA WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
300 BETHESDA DR, GREENVILLE, NC 27834-7218
(252) 752-7141
Mailing address
300 BETHESDA DR, GREENVILLE, NC 27834-7218
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
234194
NC
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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