Koutlas, Nicole Marie Lawing
Koutlas, Nicole Marie Lawing is an individual health care provider with primary practice located at 1372 Westgate Center Dr , Winston Salem NC 27103-2932. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Koutlas, Nicole Marie Lawing can be contacted via phone (336) 659-4814.Contact Information
Primary practice address
1372 Westgate Center Dr
Winston Salem NC 27103-2932
Phone: (336) 659-4814
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 2021-01464 | North Carolina |
Profile Details
| NPI number | 1750887915 |
|---|---|
| LBN Legal business name | Koutlas, Nicole Marie Lawing |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2018 |
| Last updated | Oct 31st, 2023 - about last year |
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 | 1750887915 | NPPES |
| North Carolina | Other | NNS226A | MEDICARE PTAN |
| North Carolina | MEDICAID | 1750887915 | MEDICARE PTAN |
| North Carolina | MEDICAID | 1750887915 | MEDICARE PTAN |
Popular Providers
-
Forman, Stanley Orkin
40 Old Lancaster Rd Apt 412 , Merion Station PA 19066 -
Fogg, Matthew I
470 Sentry Pkwy E Ste 200, Blue Bell PA 19422-2324 -
Mousallem, Talal Imad
Medical Center Blvd , Winston Salem NC 27157-0001 -
Nastasi, Kent Joseph
1372 Westgate Center Dr , Winston Salem NC 27103-2932 -
Hartman, Joel Michael
1372 Westgate Center Dr , Winston Salem NC 27103-2932 -
Marin, Eileen M
10301 Georgia Ave Ste 306, Silver Spring MD 20902-5020 -
Rodriguez, Gilberto E
470 Sentry Pkwy E Ste 200, Blue Bell PA 19422-2324 -
Mcpherson, Holly Murrell
1372 Westgate Center Dr , Winston Salem NC 27103-2932