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Contact Information

LISA K WASHBURN, MD
MEDICAL CENTER BLVD
WINSTON-SALEM, NC27157
 Phone: 336-716-2255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LISA K WASHBURN · (Female)

NPI # 1609850684
Status Active
Credentials MD
Entity Individual
Enumeration date 12/02/2005
Last updated 12/09/2008 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 36613
  • NC Medicaid 891291T
  • VA Medicaid 6739041
  • WV Medicaid 2006796000
  • Other 7576302 AETNA
  • Other 1291T BCBS
  • Other B1069 MEDCOST
  • Other 43973 PARTNERS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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