Individual
LISA MARSHALL CARLYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6750 WILKINSON BLVD, BELMONT, NC 28012-6202
(866) 389-2727
Mailing address
6750 WILKINSON BLVD, BELMONT, NC 28012-6202
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5010032
NC
Other
Enumeration date
11/03/2017
Last updated
11/13/2017
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