Healthcare Provider Details

I. General information

NPI: 1275418170
Provider Name (Legal Business Name): LANSING FAMILY HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 N FORK NEW RIVER RD
LANSING NC
28643-9130
US

IV. Provider business mailing address

138 N FORK NEW RIVER RD
LANSING NC
28643-9130
US

V. Phone/Fax

Practice location:
  • Phone: 336-982-1813
  • Fax: 336-982-1313
Mailing address:
  • Phone: 336-982-1813
  • Fax: 336-982-1313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE PARKER
Title or Position: OFFICE ADMIN
Credential:
Phone: 336-982-1813