Organization
VALAORAS AND LEWIS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE J. JACOBSON LPN (OFFICE MANAGER)
(336) 659-4777
Entity
Organization
Contact information
Practice address
245 CHARLOIS BLVD, WINSTON-SALEM, NC 27103-1507
(336) 659-4777
(336) 659-4798
Mailing address
245 CHARLOIS BLVD, WINSTON-SALEM, NC 27103-1507
(336) 659-4777
(336) 659-4798
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7984629
—
NC
05
—
891318W
—
NC
Enumeration date
03/17/2006
Last updated
02/11/2013
Update your record
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