David, Lisa Renee
David, Lisa Renee is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. David, Lisa Renee can be contacted via phone (336) 716-4171.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-0001
Phone: (336) 716-4171
Fax: (336) 716-8759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 9400459 | North Carolina |
Profile Details
| NPI number | 1659357143 |
|---|---|
| LBN Legal business name | David, Lisa Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Mar 29th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659357143 | NPPES |
| North Carolina | MEDICAID | 8927161 | |
| North Carolina | MEDICAID | 2005471000 | |
| North Carolina | Other | 4575678 | |
| North Carolina | Other | 97072 | |
| North Carolina | MEDICAID | Q0045A | |
| North Carolina | Other | 8440 | |
| North Carolina | Other | 27161 | |
| North Carolina | MEDICAID | 6900615 |
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