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NPI Code Detail

MEDICARE: NANETTE STRANG LCAS-A

MEDICARE:   NANETTE  STRANG  LCAS-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor24787NC

General Provider Information

NPI Number : 1033690110
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANETTE STRANG LCAS-A
Provider Business Mailing Address
First Line : 5209 CYPRESS GLEN RD
Second Line :
City : HOPE MILLS
State : NC
Zip : 28348-8224
Country : US
Telephone Number : 910-987-3947
Fax Number :
Provider Business Practice Location Address
First Line : 5209 CYPRESS GLEN ROAD
Second Line :
City : HOPE MILLS
State : NC
Zip : 28348
Country : US
Telephone Number : 910-987-3947
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2018
Last Update Date : 08/27/2018

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Directions to “ NANETTE STRANG LCAS-A” Practice Location

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