Provider Demographics
NPI:1811550510
Name:GARCIA-SAMPSON, GABRYEL LORENA (MD, MPH)
Entity type:Individual
Prefix:
First Name:GABRYEL
Middle Name:LORENA
Last Name:GARCIA-SAMPSON
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:LORENA
Other - Middle Name:GABRYEL
Other - Last Name:GARCIA-SAMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2301 ERWIN ROAD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-4478
Mailing Address - Country:US
Mailing Address - Phone:919-684-8111
Mailing Address - Fax:
Practice Address - Street 1:2301 ERWIN RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4699
Practice Address - Country:US
Practice Address - Phone:919-684-8111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-17
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program