Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA PETTY-HARTGROVE, DBA
Active Sole ProprietorDR. LISA PETTY-HARTGROVE, DBA is a Community Health Worker healthcare provider located in KINGS MOUNTAIN, North Carolina. NPI 1366039588 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · KINGS MOUNTAIN, NC
Registration Details
- NPI Number
- 1366039588
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 22, 2020 (5.6789314918024 yrs)
- Last Updated
- Dec 22, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
1010 GROVES ST STE 2KINGS MOUNTAIN, NC, 280862230Browse NC providers · Browse ZIP 28086
- Phone
- 9804041809
- Fax
- 9803520704
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Health Educator
- Additional Specialty
- Community Health Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.