Individual
LAUREN BROOKE GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 BROOKVIEW HILLS BLVD, STE 204, WINSTON SALEM, NC 27103-5661
(336) 774-3740
(336) 774-3780
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 774-3740
(336) 774-3780
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9600540
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8934417
—
NC
01
—
9600540
MEDICAL LICENSE NUMBER
NC
01
—
P00457712
RAILROAD MEDICARE
NC
Enumeration date
06/28/2005
Last updated
10/28/2020
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