Individual
LISA MICHELLE LAND
Active
Individual
LISA MICHELLE LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
263119
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
2021096899
NC
Other
Enumeration date
04/24/2020
Last updated
05/02/2022
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