Individual
LAVANYA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2090 S US 29 HWY, CHINA GROVE, NC 28023-8650
(704) 403-6800
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2017-02552
NC
Other
Enumeration date
07/13/2010
Last updated
07/15/2024
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