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Individual

MICHAEL JOHN LALOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 HOSPICE LN, WINSTON SALEM, NC 27103-5766
(336) 768-3972
Mailing address
101 HOSPICE LN, WINSTON SALEM, NC 27103-5766
(336) 768-3972

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD063108L
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
2014-00200
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017391700001
PA
Enumeration date
09/28/2006
Last updated
12/27/2022
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