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1154337871
LISA CORN
CHARLOTTE, NC
NPI
1154337871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 200907)
Enumeration Date
2006-08-01
Last Update Date
2012-02-08
Business Address
-- LISA CORN FNP
4525 CAMERON VALLEY PKWY STE 1500
CHARLOTTE, NC 28211-3546
Phone number: 704-512-6240
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Mailing Address
-- LISA CORN FNP
PO BOX 601692
CHARLOTTE, NC 28260-1692
Phone number: 704-512-6240
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