Individual
LAURA HAYS GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 HOSPITAL DR, LEXINGTON, NC 27292-6792
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(333) 671-6225
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2011-00639
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918046
—
NC
Enumeration date
04/22/2008
Last updated
12/19/2011
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