Individual
MIRANDA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
WAKE FOREST BAPTIST HEALTH, MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
3815 CANTER DR, TRINITY, NC 27370-7790
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209239
NC
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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