Individual
LAURENCE BRUCE GIVNER
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) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
29112
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007292000
—
WV
01
—
35331
MEDCOST
—
01
—
35669
BCBS
—
01
—
5741
PARTNERS
—
05
—
6722407
—
VA
01
—
7315733
AETNA
—
05
—
8935669
—
NC
05
—
Q29112
—
SC
Enumeration date
12/07/2005
Last updated
05/08/2008
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