MALLORY LAKE MCCOY

RALEIGH, NC
NPI1699149906
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-06072)
Enumeration Date2015-11-24
Last Update Date2023-05-24
Business Address
MALLORY LAKE MCCOY PA-C
4601 LAKE BOONE TRL STE 1B
RALEIGH, NC 27607-7503
Phone number: 919-781-1800
Mailing Address
MALLORY LAKE MCCOY PA-C
4601 LAKE BOONE TRL STE 1B
RALEIGH, NC 27607-7503
Phone number: 919-781-1800