Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 9600983 | NC |
NPI | 1053304212 |
---|---|
Provider Name | Dr. Pamela A Lepera |
First Address | Charlotte, NC 28275-1069 |
Second Address | Greenville, NC 27834-4300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 26/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
51727 | BCBS NC (01) | NC |
830003607 | RAILROAD MEDICARE (01) | NC |
8951727 | (05) | NC |
G08181 | (02) | NC |