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Mrs. Sarah League Lycan, CRNP
Adult Health Nurse Practitioner in Winston Salem, North Carolina
NPI 1144559303

Sarah League Lycan is an Adult Health Nurse Practitioner based in Charlotte, NC and is specialized in Adult Health. Sarah League Lycan practices in Winston Salem, NC and has the professional credentials of CRNP. The NPI Number for Sarah League Lycan is 1144559303 and holds a License No. 5005689 (North Carolina).

The current practice location address for Sarah League Lycan is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2255 and via fax at 336-716-9016.

Location: Medical Center Blvd, Winston Salem, NC, 28260-2658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144559303
Provider Name
Sarah League Lycan
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
Medical Center Blvd, Winston Salem, NC, 28260-2658
Phone Number
336-716-2255
Fax Number
336-716-9016
Provider Enumeration Date
12/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7006173 05 NC
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-716-9016
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-716-9016
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
5005689 (North Carolina)
Definition
Definition to come...
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