Individual
MISS LAUREN BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-7220
(336) 716-4500
(336) 713-4501
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-4500
(336) 713-4501
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
209892
NC
2080P0214X
Pediatric Pulmonology Physician
Primary
2018-00867
NC
Other
Enumeration date
04/29/2015
Last updated
11/10/2021
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