Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 5004662 | NC |
NPI | 1174893135 |
---|---|
Provider Name | Laura Lumsden |
First Address | Durham, NC 27705-3824 |
Second Address | Durham, NC 27710-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2012 |
Last Update Date | 09/01/2012 |