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Contact Information

LIONEL G FERNANDO, MD
5617 MAXWELL PL
WILMINGTON, NC28409-2966
 Phone: 910-742-9243
 Fax: 888-746-1787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Neurodevelopmental Disabilities

2084P0005X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for LIONEL G FERNANDO · (Male)

NPI # 1013083146
Status Active
Credentials MD
Entity Individual
Enumeration date 11/28/2006
Last updated 06/09/2014 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 25796
  • NC Medicaid 8931711
  • NC Other 31705 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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