Individual
LAUREN RAY BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 LYNDHURST AVE, WINSTON SALEM, NC 27103-4007
(336) 765-0383
(336) 768-1737
Mailing address
3001 LYNDHURST AVE, WINSTON SALEM, NC 27103-4007
(336) 765-0383
(336) 768-1737
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
500701
NC
363LF0000X
Family Nurse Practitioner
Primary
500701
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
500701
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008701
NC BOARD OF NURSING
NC
Enumeration date
08/02/2016
Last updated
03/17/2026
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