SIDNEY LAVENDER II, PAC

Physician Assistant - Surgical

Active Individual
NPI: 1609859313

Practice Address

MEDICAL CENTER BLVD
Winston Salem, NC 27157

Phone: (336) 716-2255

Specialties

Specialty Code Primary License
Physician Assistant - Surgical 363AS0400X Yes 000100189 (NC)

Frequently Asked Questions

NPI 1609859313 is the National Provider Identifier for SIDNEY LAVENDER II, PAC, a Physician Assistant - Surgical provider located in Winston Salem, NC. This NPI was enumerated on November 28, 2005.
SIDNEY LAVENDER II, PAC practices at MEDICAL CENTER BLVD, Winston Salem, NC 27157.

Quick Facts

NPI
1609859313
Type
Individual
Enumerated
Nov 28, 2005
Last Updated
Aug 20, 2010

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