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Individual

LISA SUSAN EHRLICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
14215 BALLANTYNE CORPORATE PL STE 240, CHARLOTTE, NC 28277-3875
(704) 316-7760
(704) 316-7761
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010317
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5010317
NORTH CAROLINA BOARD OF NURSING
NC
Enumeration date
03/21/2018
Last updated
02/21/2024
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