Nelson, Lisa Carraway

Nelson, Lisa Carraway is an individual health care provider with primary practice located at 1005 Brown St , Washington NC 27889-4670. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nelson, Lisa Carraway can be contacted via phone (252) 948-1393.

Contact Information

Primary practice address
1005 Brown St Washington NC 27889-4670
Phone: (252) 948-1393
Fax: (252) 948-1392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2007-00955 North Carolina

Profile Details

NPI number 1780880054
LBN Legal business name Nelson, Lisa Carraway
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Oct 14th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780880054 NPPES
North Carolina Other 146HH BLUE CROSS
North Carolina MEDICAID 5908673 BLUE CROSS

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