Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 34251 | NC |
N | 207P00000X | Emergency Physician | MD054526L | PA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 34251 | NC |
NPI | 1245234814 |
---|---|
Provider Name | Lenora W. Berning |
First Address | Charlotte, NC 28204-2408 |
Second Address | Charlotte, NC 28204-2408 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2005 |
Last Update Date | 02/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
011496469 | (05) | PA |
144AE | BCBSNC (01) | NC |
157145 | (05) | SC |
59-06771 | (05) | NC |
F70098 | (02) | PA |
P00364545 | RR MEDICARE (01) | NC |