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Individual

MAUREEN JEAN LAMONT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
3069 TRENWEST DR, STE 200, WINSTON SALEM, NC 27103-3211
(336) 993-3146
(336) 992-3930
Mailing address
3069 TRENWEST DR, STE 200, WINSTON SALEM, NC 27103-3211
(336) 993-3146
(336) 992-3930

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
005001754
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
175RN
BCBS
NC
05
7004991
NC
Enumeration date
08/08/2007
Last updated
12/01/2014
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