Search › North Carolina › 163WH0200X
Lisa Mack
NPI 1306305248 · on the registry since 2019
Practice
- Address
- 1014 Harvest Grove Ct
Hope Mills, NC 28348 - Phone
- (910) 364-5219
- Organisation at this address
- Green Beret Healthcare Agency, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Also registered as
- 374U00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-03-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina