Individual
LOUIS N GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
631 COLISEUM DRIVE, WINSTON-SALEM, NC 27106
(336) 723-1041
(336) 716-7994
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-7994
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13460
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8936380
—
NC
Enumeration date
12/19/2005
Last updated
08/20/2010
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