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1871982157
LISA MARIE RUTHERFORD
WINSTON SALEM, NC
NPI
1871982157
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Former Name
LISA WINTERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5007387)
Enumeration Date
2015-01-09
Last Update Date
2021-11-17
Business Address
LISA MARIE RUTHERFORD NP
2085 FRONTIS PLAZA BLVD
WINSTON SALEM, NC 27103-5614
Phone number: 704-316-4136
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Mailing Address
LISA MARIE RUTHERFORD NP
PO BOX 751803
CHARLOTTE, NC 28275-1803
Phone number:
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