Individual
LISA HUGGINS OXENDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
812 CANDY PARK RD, PEMBROKE, NC 28372-9129
(910) 521-0201
(910) 521-0773
Mailing address
400 LIBERTY HILL RD, LUMBERTON, NC 28358-2446
(910) 738-8060
(910) 671-3600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
101978
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101978
NC LICENSE
NC
Enumeration date
12/13/2005
Last updated
03/06/2013
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