Basic Information
Provider Information
NPI: 1184355919
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: D'LUGIN
FirstName: ALYSSA
MiddleName: LORAYNE
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2111 SUMMIT RIDGE LOOP
Address2:  
City: MORRISVILLE
State: NC
PostalCode: 275606938
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1000 CRESCENT GRN STE 102
Address2:  
City: CARY
State: NC
PostalCode: 275188117
CountryCode: US
TelephoneNumber: 9198975999
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/22/2022
LastUpdateDate: 06/22/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/03/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X5016409NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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