Individual
DR. LISA CARRAWAY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 BROWN ST, WASHINGTON, NC 27889-4670
(252) 948-1393
(252) 948-1392
Mailing address
1005 BROWN ST, WASHINGTON, NC 27889-4670
(252) 948-1393
(252) 948-1392
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007-00955
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146HH
BLUE CROSS
NC
05
—
5908673
—
NC
Enumeration date
06/25/2007
Last updated
10/14/2008
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