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Dr. Lena Nowacki, DO
Military Health Care Provider in Fort Bragg, North Carolina
NPI 1164164117

Lena Nowacki is a Military Health Care Provider based in Fort Bragg, NC. Lena Nowacki practices in Fort Bragg, NC and has the professional credentials of DO. The NPI Number for Lena Nowacki is 1164164117 and holds a License No. (North Carolina).

The current practice location address for Lena Nowacki is 2817 Reilly Rd., Fort Bragg, NC and can be reached out via phone at 910-907-8246.

Location: 2817 Reilly Rd., Fort Bragg, NC, 28310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164164117
Provider Name
Lena Nowacki
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2817 Reilly Rd., Fort Bragg, NC, 28310
Phone Number
910-907-8246
Fax Number
Provider Enumeration Date
04/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2817 Reilly Rd.
City
Fort Bragg
State
North Carolina
Zip
28310
Phone Number
910-907-8246
Fax Number
person
Provider Business Mailing Address Details
Address
2817 Reilly Rd.
City
Fort Bragg
State
North Carolina
Zip
28310
Phone Number
910-907-8246
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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