Individual
LASONYA C FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1712 E 1ST ST, WINSTON SALEM, NC 27101-4506
(336) 671-9252
Mailing address
1712 E 1ST ST, WINSTON SALEM, NC 27101-4506
(336) 671-9252
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
91205
NC
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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