Sidney Wilson Lavender in Winston Salem - Surgical
Sidney Wilson Lavender - NPI 1609859313
Sidney Wilson Lavender is a Surgical in Winston Salem, North Carolina. Sidney Wilson Lavender practices all healthcare services and medical treatments related to Surgical. The NPI Number for Sidney Wilson Lavender is 1609859313. The last update date is 2010-08-20.
Sidney Wilson Lavender's current location address is Po Box 344, Winston Salem, North Carolina. You can contact this provider via phone number 3367162255 and fax number 3367163348. The mailing address for Sidney Wilson Lavender is Po Box 344, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sidney Wilson Lavender |
|---|---|
| Address | Po Box 344, Winston Salem, North Carolina |
| Phone Number | 3367162255 |
| Fax Number | 3367163348 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1609859313 |
|---|---|
| Provider Enumeration Date | 2005-11-28 |
| Last Updated Date | 2010-08-20 |
Provider Mailing Address Detail
| Address | Po Box 344 |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271020344 |
| Phone Number | 3367162255 |
| Fax Number | 3367163348 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 100189 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7008754 | AETNA | ||
| 94713 | NC | MEDCOST | |
| 5554 | NC | PARTNERS |
Post Comment/ Review Below
What is the unique identification code assigned to Sidney Wilson Lavender by the Centers for Medicare & Medicaid Services?
The Sidney Wilson Lavender has been issued the NPI (National Provider Identifier) 1609859313. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Sidney Wilson Lavender's facilities are situated?
The facilities of Sidney Wilson Lavender are physically located at the following address: Po Box 344, Winston Salem, NC, 271020344.
What is Sidney Wilson Lavender's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sidney Wilson Lavender is Surgical, and the taxonomy code that categorizes this field of expertise is 363As0400X.
When did Sidney Wilson Lavender receive its 1609859313 assignment?
The Sidney Wilson Lavender was assigned its 1609859313 on 2005-11-28, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Sidney Wilson Lavender most recently updated or revised?
The details related to Sidney Wilson Lavender, including its address, specialty, and other relevant information, were last updated or revised on 2010-08-20.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY