Individual provider · Type 1 NPI
David Lane Ingram, MD
Specialist · Raleigh, NC
NPI number
1528002102
Active
Practice location
3024 New Bern Ave, Andrews Center, Suite 307
Raleigh, NC 27610-1247
Fax (919) 350-8677
Mailing address
2004 N Lakeshore Dr
Chapel Hill, NC 27514-2024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 19062 (NC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1528002102
David Lane Ingram, MD's National Provider Identifier is 1528002102, issued on Jun 15, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Raleigh, NC. The record was last updated on Jul 8, 2007.