Individual
DR. LISA CAROL DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3061 N SHARON AMITY RD, CHARLOTTE, NC 28205-6600
(704) 567-6755
(704) 567-0238
Mailing address
3515 SELWYN AVE, CHARLOTTE, NC 28209-3501
(704) 521-2719
(704) 567-0238
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1924
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89093R5
—
NC
Enumeration date
07/26/2006
Last updated
07/08/2007
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