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Organization

LANCET RHEUMATOLOGY AND SARA LUPUS CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NILAMADHAB MISHRA (MD)
(336) 955-1838
Entity
Organization

Contact information

Practice address
275 EXECUTIVE PARK BLVD STE 601, WINSTON SALEM, NC 27103-1548
(336) 955-1838
(336) 955-1842
Mailing address
275 EXECUTIVE PARK BLVD STE 601, WINSTON SALEM, NC 27103-1548
(336) 955-1838
(336) 955-1842

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary

Other

Enumeration date
09/25/2025
Last updated
09/25/2025
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