Individual
LUCILLE GILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
464 WHITE OAK LN, MIDWAY PARK, NC 28544-1239
(910) 333-5229
Mailing address
464 WHITE OAK LN, MIDWAY PARK, NC 28544
(910) 333-5229
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8MG3HK1NE87
—
NC
Enumeration date
09/11/2019
Last updated
09/11/2019
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