LANE NATIVIDAD

GOLDSBORO, NC
NPI1598049843
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: NC  5005330)
Enumeration Date2011-10-05
Last Update Date2021-03-30
Business Address
LANE NATIVIDAD CPNP
2706 MEDICAL OFFICE PL
GOLDSBORO, NC 27534-9460
Phone number: 919-734-4736
Mailing Address
LANE NATIVIDAD CPNP
2706 MEDICAL OFFICE PL
GOLDSBORO, NC 27534-9460
Phone number: 919-734-4736