Individual
DR. LUCIAN GABRIEL VLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-7519
(336) 716-8759
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2255
(336) 716-8759
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008-01295
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910368
—
NC
01
—
P00835722
RAILROAD MEDICARE PTAN
NC
Enumeration date
05/02/2007
Last updated
04/16/2021
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