Individual
DR. LISA ANN HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10940 RAVEN RIDGE RD, SUITE 214, RALEIGH, NC 27614-6610
(919) 847-1495
(919) 847-1549
Mailing address
10940 RAVEN RIDGE RD, SUITE 214, RALEIGH, NC 27614-6610
(919) 847-1495
(919) 847-1549
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2007-00584
NC
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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