Individual
DR. ROBERT LAWRENCE MUNT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4414 LAKE BOONE TRAIL, SUITE 103, RALEIGH, NC 27607
(919) 787-0266
(919) 571-9314
Mailing address
4414 LAKE BOONE TRAIL, SUITE 103, RALEIGH, NC 27607
(919) 787-0266
(919) 571-9314
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21831
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012U3
BCBS
NC
05
—
79012U3
—
NC
Enumeration date
05/16/2006
Last updated
09/26/2013
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