Provider Demographics
NPI:1023796406
Name:MASCARENHAS, HENRY LAWRENCE (DNP)
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:LAWRENCE
Last Name:MASCARENHAS
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1006 N ARENDELL AVE
Mailing Address - Street 2:
Mailing Address - City:ZEBULON
Mailing Address - State:NC
Mailing Address - Zip Code:27597-2352
Mailing Address - Country:US
Mailing Address - Phone:919-646-0069
Mailing Address - Fax:919-646-0075
Practice Address - Street 1:1006 N ARENDELL AVE
Practice Address - Street 2:
Practice Address - City:ZEBULON
Practice Address - State:NC
Practice Address - Zip Code:27597-2352
Practice Address - Country:US
Practice Address - Phone:919-646-0069
Practice Address - Fax:919-646-0075
Is Sole Proprietor?:No
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5018376207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine