Healthcare Provider Details

I. General information

NPI: 1922910157
Provider Name (Legal Business Name): LUMBEE LAND DEVELOPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 THREE HUNTS DR STE 78C
PEMBROKE NC
28372-8998
US

IV. Provider business mailing address

6984 NC-711 WEST
PEMBROKE NC
28372
US

V. Phone/Fax

Practice location:
  • Phone: 910-521-5217
  • Fax:
Mailing address:
  • Phone: 910-521-7861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SHEENA REGAN
Title or Position: MANAGER OF HEALTH OPERATIONS
Credential:
Phone: 910-521-7861