Individual
JACKELINE CHAPARRO LORENZO LARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6102 GRACE PARK DR, MORRISVILLE, NC 27560-6003
(919) 235-6480
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2024-02413
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740819549
—
NC
Enumeration date
04/03/2020
Last updated
09/19/2024
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