Individual
SUZY GIBSON LORENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1351 WESTGATE CENTER DR, DBA FORSYTH PEDIATRIC ASSOCIATES - WESTGATE, WINSTON SALEM, NC 27103-2934
(336) 718-7777
(336) 718-7757
Mailing address
2000 FRONTIS PLAZA BLVD STE 200, (ATTN) FORSYTH MEDICAL GROUP, WINSTON SALEM, NC 27103-5616
(336) 277-2435
(336) 277-9275
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
72176
NC
Other
Enumeration date
02/20/2006
Last updated
07/08/2007
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