Search › North Carolina › 363LA2100X
Stacey Bohm, AGACNP-BC
NPI 1508484031 · on the registry since 2020
Practice
- Address
- 1661 Davie Ave
Statesville, NC 28677 - Phone
- (704) 495-2470
- Organisation at this address
- Lake Norman Medical, Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LA2100X
- Licence states on file
- VA, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-26
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