# LLIBOTT CONSULTORIOS MEDICOS- WS,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Llibott Consultorios Medicos
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487030060
- **Authorized official:** CAROLINA ASURZA (OFFICE MANAGER)
- **Authorized official phone:** (336) 792-1519

## Contact information

- **Practice address:** 1145 SILAS CREEK PKWY, WINSTON SALEM, NC 27127
- **Practice address phone:** (336) 792-1519
- **Mailing address:** 1145 SILAS CREEK PKWY, WINSTON SALEM, NC 27127-5627
- **Mailing address phone:** (336) 792-1515
- **Mailing address fax:** (336) 792-1518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2015
- **Last updated:** 05/23/2018