Provider Demographics
NPI:1922338540
Name:MARKS, LISA CAMPBELL (NP)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:CAMPBELL
Last Name:MARKS
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Gender:F
Credentials:NP
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Mailing Address - Street 1:2301 ERWIN RD # DUMC3442
Mailing Address - Street 2:8660 HAFS BUILDING
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4699
Mailing Address - Country:US
Mailing Address - Phone:919-684-2890
Mailing Address - Fax:919-681-7905
Practice Address - Street 1:2301 ERWIN RD # DUMC3442
Practice Address - Street 2:8660 HAFS BUILDING
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710
Practice Address - Country:US
Practice Address - Phone:919-684-2890
Practice Address - Fax:919-681-7905
Is Sole Proprietor?:No
Enumeration Date:2010-01-04
Last Update Date:2010-01-04
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Provider Licenses
StateLicense IDTaxonomies
NC138664363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily