Individual
LAWANA USSERY HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 MISTY MORN DRIVE, CHARLOTTE, NC 28215
(980) 202-9053
(980) 819-5055
Mailing address
1740 MISTY MORN DRIVE, CHARLOTTE, NC 28215
(980) 202-9053
(980) 819-5055
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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