Individual
MRS. EMMA VEIGH LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 MORAVIAN WAY DR, WINSTON SALEM, NC 27106-3216
(336) 856-0801
(336) 856-2804
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03976
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8103212
—
NC
Enumeration date
12/18/2012
Last updated
12/20/2022
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