Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 940107 | NC |
NPI | 1063569952 |
---|---|
Provider Name | Mrs. Lanika Lennee Wright |
First Address | Greenville, NC 27834-8234 |
Second Address | Greenville, NC 27858 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q42275 | (02) | NC |