Individual
DR. ELIZABETH LUM HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2602 COURTIER DR, GREENVILLE, NC 27834-7818
(252) 752-0483
(252) 757-3172
Mailing address
547 CRESTLINE BLVD, GREENVILLE, NC 27834-6860
(252) 531-4302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5005415
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5005415
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
561066387
BCBS
NC
05
—
7006273
—
NC
Enumeration date
12/15/2006
Last updated
07/06/2024
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