Provider Demographics
NPI:1265408710
Name:LUNDRIGAN, CAROL J (FNP-C)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:J
Last Name:LUNDRIGAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:998 ERVIN DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-6514
Mailing Address - Country:US
Mailing Address - Phone:336-537-4171
Mailing Address - Fax:
Practice Address - Street 1:2797 NC HIGHWAY 55
Practice Address - Street 2:MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA, P.C.
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519
Practice Address - Country:US
Practice Address - Phone:886-389-2727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200696363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCD8847OtherMEDCOST NUMBER
NC2805090BMedicare ID - Type UnspecifiedMEDICARE NUMBER
NCD8847OtherMEDCOST NUMBER