Individual
DR. LEONOR C CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
905 N QUEEN ST, KINSTON, NC 28501
(252) 523-5461
(252) 523-0471
Mailing address
PO BOX 1073, KINSTON, NC 28503-1073
(252) 523-5461
(252) 523-0471
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
30999
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8921358
—
NC
Enumeration date
06/15/2006
Last updated
07/30/2007
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