SearchNorth Carolina124Q00000X

Breona Lister

NPI 1225695273 · on the registry since 2019

Practice

Address
38 17 Gruber Rd
Fort Bragg, NC 28303
Phone
(910) 396-5012

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-05-27

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