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Individual

JOHN LANE MOLPUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 716-2255
Mailing address
PO BOX 602598, WAKE FOREST UNIVERSITY HEALTH SCIENCES, CHARLOTTE, NC 28260-2598
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
99-00953
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
128WW
NC BCBS
NC
01
3900679
UHC
NC
05
89128WW
NC
01
B6394
MEDCOST
NC
Enumeration date
05/16/2006
Last updated
09/09/2011
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