Fernando, Lionel Gregory

Fernando, Lionel Gregory is an sole proprietor health care provider with primary practice located at 5617 Maxwell Pl , Wilmington NC 28409-2966. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Fernando, Lionel Gregory can be contacted via phone (910) 742-9243.

Contact Information

Primary practice address
5617 Maxwell Pl Wilmington NC 28409-2966
Phone: (910) 742-9243
Fax: (888) 746-1787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 25796 North Carolina
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2084P0005X 25796 North Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 25796 North Carolina

Profile Details

NPI number 1013083146
LBN Legal business name Fernando, Lionel Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Jun 9th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013083146 NPPES
North Carolina MEDICAID 8931711
North Carolina Other 31705

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