LYSA LONG

CHARLOTTE, NC
NPI1619110418
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: NC  185)
Enumeration Date2009-04-09
Last Update Date2020-10-25
Business Address
LYSA LONG CNM
5933 BLAKENEY PARK DR STE 100
CHARLOTTE, NC 28277-5713
Phone number: 704-316-2021
Mailing Address
LYSA LONG CNM
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-316-2025
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