ANNIE LAURIE LEBOUTON

CHARLOTTE, NC
NPI1831636026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  113614)
Enumeration Date2017-01-25
Last Update Date2021-10-14
Business Address
Mrs. ANNIE LAURIE LEBOUTON
200 HAWTHORNE LN
CHARLOTTE, NC 28204-2515
Phone number: 704-491-1924
Mailing Address
Mrs. ANNIE LAURIE LEBOUTON
1415 MAIN ST
CHARLOTTE, NC 28204-3145
Phone number: 225-281-7429