Organization
ADVANCED WELLNESS INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONNIE W LASSITER II M.D. (OWNER)
(828) 894-3494
Entity
Organization
Contact information
Practice address
2881 NC 108 HWY E, COLUMBUS, NC 28722-7721
(828) 894-3494
(828) 894-5864
Mailing address
2881 E NC 108 HWY, COLUMBUS, NC 28722-7221
(828) 894-3494
(828) 894-5864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
104192
NC
Other
Enumeration date
08/17/2011
Last updated
10/19/2011
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