Individual
MICHAEL RHODES LAWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2516
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19504
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007236000
—
WV
01
—
26860
MEDCOST
—
01
—
3697
PARTNERS
—
01
—
51197
BCBS
—
01
—
5818689
AETNA
—
05
—
6723608
—
VA
05
—
8951197
—
NC
05
—
Q19504
—
SC
Enumeration date
12/02/2005
Last updated
05/23/2008
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