Individual
LIONEL VAN DER WESTHUIZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
965 STATE FARM RD, BOONE, NC 28607-4948
(828) 264-3240
Mailing address
965 STATE FARM RD, BOONE, NC 28607-4948
(828) 264-3240
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2013-00842
NC
208600000X
Surgery Physician
29764
SC
Other
Enumeration date
05/28/2007
Last updated
06/20/2013
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