Individual
MRS. ALISA LAWSON STARBUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN NNP
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-6498
(336) 713-2242
Mailing address
1289 BLACK MOUNTAIN RD, PILOT MOUNTAIN, NC 27041-7329
(336) 713-6498
(336) 713-2242
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
930079
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003640
—
NC
Enumeration date
11/14/2005
Last updated
09/26/2007
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