| NPI | 1326036138 |
|---|---|
| Doing Business As | LUMBER RIVER FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | NIKKIA DAY Credentialing Specialist 704-467-8799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2017-02-14 |