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Individual

LAVONDA JUNE MELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
222 ASHELAND AVE, ASHEVILLE, NC 28801-4016
(828) 213-9090
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 213-1500
(828) 651-6570

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009021
NC
363LA2100X
Acute Care Nurse Practitioner
5009021
NC

Other

Enumeration date
10/13/2016
Last updated
11/10/2016
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