EBONIE LANE

CHARLOTTE, NC
NPI1972974384
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5008075)
Enumeration Date2015-10-12
Last Update Date2020-02-17
Business Address
EBONIE LANE NP
1001 BLYTHE BLVD STE 300- ADULT CARDIOLOGY
CHARLOTTE, NC 28203-5866
Phone number: 704-373-0212
Mailing Address
EBONIE LANE NP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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