MCTISA MICHELLE LANE

FORT BRAGG, NC
NPI1669756177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5005342)
Enumeration Date2011-10-03
Last Update Date2025-06-09
Business Address
MCTISA MICHELLE LANE FNP
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310-8862
Phone number: 910-907-8707
Mailing Address
MCTISA MICHELLE LANE FNP
2817 ROCK MERRITT AVE STOP A
FORT BRAGG, NC 28310-8862
Phone number: 910-907-8707
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