Individual
LAKEA REAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 641-7777
Mailing address
6711 BARTON CREEK DR, WHITSETT, NC 27377-9281
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
316750
NC
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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