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Individual

MRS. LAURIE RANCIK HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2304 WESVILL CT, STE 240, RALEIGH, NC 27607-2973
(919) 571-1567
(919) 782-1472
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5006633
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821429572
NC
05
NCG426A
NC
Enumeration date
12/06/2013
Last updated
10/12/2023
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