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Contact Information

LISA L MATHER, LPN, IBCLC, RLC
12515 CEDAR FALL DRIVE
HUNTERSVILLE, NC28078
 Phone: 980-213-5867
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for LISA L MATHER · (Female)

NPI Number 1689979510
Status Active
Credentials LPN, IBCLC, RLC
Entity Individual
Enumeration date 01/25/2011
Last updated 01/25/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 049048
  • NC License # 101-117460
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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