Lionel Fernando

Provider Type
Provider
NPI
1013083146
Facility/Practice Name
Lifesource of North Carolina
PCP/Non-PCP
PCP
First Name
Lionel
Last Name
Fernando
Address
3205 Randall Pkwy Ste 105
City
Wilmington
State
NC
County
New Hanover
Phone
(910) 742-9243