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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
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