Individual
MELISSA ANDERSON LAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2001 00059
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
200100059
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13276
BCBS
NC
05
—
2004626000
—
WV
05
—
5720478
—
VA
01
—
7892456
AETNA
—
01
—
802064
PARTNERS
NC
05
—
8913276
—
NC
01
—
C0619
MEDCOST
NC
05
—
Q0005C
—
SC
Enumeration date
12/29/2005
Last updated
09/08/2017
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