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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 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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