Individual
LORREN BAINES SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
799 HICKORY TREE RD STE A, WINSTON SALEM, NC 27127-9244
(336) 702-1253
Mailing address
799 HICKORY TREE RD STE A, WINSTON SALEM, NC 27127-9244
(336) 702-1253
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5016532
NC
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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