Individual
LISA ANN BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2839 WENDELL BLVD., SUITE 100, WENDELL, NC 27591
(919) 365-7272
(919) 822-0035
Mailing address
1021 DARRINGTON DR STE 101, CARY, NC 27513-8158
(198) 523-9999
(919) 378-9114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023-00218
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740267178
—
NC
Enumeration date
12/28/2005
Last updated
03/11/2024
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