Lisa Katheryn Washburn
MD | Pediatric Neonatal-Perinatal Medicine | Female
Lisa Katheryn Washburn, MD is a Winston-salem, North Carolina based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Lisa Katheryn Washburn is
Medical Center Blvd, Winston-salem, North Carolina - 27157. She can be contacted on phone at
336-716-2255.
Lisa Katheryn Washburn is a sole proprietor of her business.
NPI number (Unique professional ID) for Lisa Katheryn Washburn is
1609850684 which was assigned by NPPES on 02 Dec, 2005 and it was last updated on 09 Dec, 2008.
Lisa Katheryn Washburn license number is
36613 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in North Carolina.
Lisa Katheryn Washburn is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Lisa Katheryn Washburn basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Lisa Katheryn Washburn |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Lisa Katheryn Washburn address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | Medical Center Blvd
Winston-salem, NC, 27157
United States |
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| Phone Number : | 336-716-2255 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1609850684 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Dec, 2005 |
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| Last Updated On : | 09 Dec, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Katheryn Washburn are as mentioned. Primary taxonomy code for Lisa Katheryn Washburn, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 36613 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Lisa Katheryn Washburn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| B1069 | Other | | MEDCOST |
| 1291T | Other | | BCBS |
| 2006796000 | MEDICAID | WV | |
| 6739041 | MEDICAID | VA | |
| 891291T | MEDICAID | NC | |
| 43973 | Other | | PARTNERS |
| 7576302 | Other | | AETNA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 344
Winston Salem, NC, 27102-0344
United States |
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| Phone Number : | 336-716-2255 |
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Business Location:
Patients can refer following map for directions to
Lisa Katheryn Washburn practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.