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Individual

DR. KEITH LERRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2624 ORTHO DR, WILSON, NC 27893-3484
(252) 991-5261
(252) 991-5262
Mailing address
2624 ORTHO DR W, WILSON, NC 27893-3484
(252) 991-5261
(252) 991-5262

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
200300489
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5920149
NC
01
NC7584B425
MEDICARE PTAN
NC
Enumeration date
11/14/2005
Last updated
09/14/2012
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