| NPI | 1356644736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LASHAE LOCKE Nurse Practitioner 252-367-3689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: NC 5004987) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |