Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ||
N | 175L00000X | Homeopath |
NPI | 1437664323 |
---|---|
Provider Name | Dr. Michael A Lonardo |
First Address | Raleigh, NC 27609-5278 |
Second Address | Raleigh, NC 27609-5278 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2017 |
Last Update Date | 27/08/2021 |