person
Sidney Wilson Lavender II, PAC
Surgical Physician Assistant in Winston Salem, North Carolina
NPI 1609859313

Sidney Wilson Lavender II is a Surgical Physician Assistant based in Winston Salem, NC and is specialized in Surgical. Sidney Wilson Lavender II practices in Winston Salem, NC and has the professional credentials of PAC. The NPI Number for Sidney Wilson Lavender II is 1609859313 and holds a License No. 000100189 (North Carolina).

The current practice location address for Sidney Wilson Lavender II is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2255 and via fax at 336-716-3348.

Location: Medical Center Blvd, Winston Salem, NC, 27102-0344
person
Provider Profile Details
NPI Number
1609859313
Provider Name
Sidney Wilson Lavender II
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
Medical Center Blvd, Winston Salem, NC, 27102-0344
Phone Number
336-716-2255
Fax Number
336-716-3348
Provider Enumeration Date
11/28/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
7008754 01 AETNA
94713 01 NC MEDCOST
5554 01 NC PARTNERS
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-716-3348
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-716-3348
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
000100189 (North Carolina)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.