Individual
LESLEY FORDE COGBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2555 COURT DR STE 270, GASTONIA, NC 28054-2185
(704) 834-4390
(704) 834-3274
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5017807
NC
Other
Enumeration date
10/18/2022
Last updated
04/14/2023
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