Washburn, Lisa Katheryn

Washburn, Lisa Katheryn is an individual health care provider with primary practice located at Medical Center Blvd , Winston-Salem NC 27157. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Washburn, Lisa Katheryn can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston-Salem NC 27157
Phone: (336) 716-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 36613 North Carolina

Profile Details

NPI number 1609850684
LBN Legal business name Washburn, Lisa Katheryn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Dec 9th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609850684 NPPES
Other 1291T BCBS
Other 43973 BCBS
MEDICAID 891291T BCBS
Other 7576302 BCBS
MEDICAID 2006796000 BCBS
MEDICAID 6739041 BCBS
Other B1069 BCBS

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