Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | 2012-02229 | NC |
NPI | 1306042122 |
---|---|
Provider Name | Dr. Elda Lambert Fisher |
First Address | Chapel Hill, NC 27599-7450 |
Second Address | Chapel Hill, NC 27599-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 08/01/2020 |