Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 107394 | NC |
N | 363LW0102X | Nurse Practitioner - Women's Health | 5009114 | NC |
NPI | 1043753312 |
---|---|
Provider Name | Laura Lenard |
First Address | Charlotte, NC 28260-0447 |
Second Address | Charlotte, NC 28215-7069 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2016 |
Last Update Date | 27/10/2020 |