Individual
LISA MARIE RECTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
236 COVE CREEK LOOP, MOORESVILLE, NC 28117-3520
(828) 638-3608
Mailing address
236 COVE CREEK LOOP, MOORESVILLE, NC 28117-3520
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015360
NC
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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