Individual
DR. BRUCE EDWARD LANTELME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3288 ROBINHOOD RD, SUITE 202, WINSTON SALEM, NC 27106
(336) 768-3335
(336) 768-4171
Mailing address
3288 ROBINHOOD RD, SUITE 202, WINSTON SALEM, NC 27106-5464
(336) 768-3335
(336) 768-4171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
96 01654
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96-01654
—
NC
Enumeration date
08/23/2005
Last updated
03/14/2012
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