Healthcare Provider Details

I. General information

NPI: 1750492179
Provider Name (Legal Business Name): LOIS ANN FLEMMING D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 02/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 TRENT RD STE. 3
NEW BERN NC
28562-2219
US

IV. Provider business mailing address

3601 TRENT RD STE. 3
NEW BERN NC
28562-2219
US

V. Phone/Fax

Practice location:
  • Phone: 252-638-6062
  • Fax: 252-638-3180
Mailing address:
  • Phone: 252-638-6062
  • Fax: 252-638-3180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberNC1858
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: