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Organization
LANCET RHEUMATOLOGY AND SARA LUPUS CLINIC, PLLC
Active
Organization
LANCET RHEUMATOLOGY AND SARA LUPUS CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILAMADHAB MISHRA MD (ORGANIZER AND MEMBER)
(336) 918-3421
Entity
Organization
Contact information
Practice address
275 EXECUTIVE PARK BLVD STE 601, WINSTON SALEM, NC 27103
(336) 955-1838
(336) 955-1842
Mailing address
275 EXECUTIVE PARK BLVD STE 601, WINSTON SALEM, NC 27103-1548
(336) 955-1838
(336) 955-1842
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
200000903
NC
Other
Enumeration date
05/25/2016
Last updated
07/23/2018
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