Individual
AERIAL BROOKE LAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
214 18TH ST SE, HICKORY, NC 28602-1363
(828) 322-5172
(828) 322-6963
Mailing address
1501 TATE BLVD SE, PO BOX 38, HICKORY, NC 28603-0038
(828) 612-7772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12742
NC
Other
Enumeration date
11/08/2022
Last updated
04/08/2024
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