Dr Lauralee Wilson, MD | |
1919 W Park Dr, North Wilkesboro, NC 28659-3564 | |
(336) 651-2980 | |
Not Available |
Full Name | Dr Lauralee Wilson |
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Gender | Female |
Speciality | Family Medicine |
Location | 1919 W Park Dr, North Wilkesboro, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346202538 | NPI | - | NPPES |
89127A2 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 200000668 (North Carolina) | Primary |
Entity Name | Moses Cone Medical Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427095249 PECOS PAC ID: 2769395458 Enrollment ID: O20040128000519 |
Mailing Address | Practice Location Address |
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Dr Lauralee Wilson, MD Po Box 751803, Charlotte, NC 28275-1803 Ph: (704) 384-7840 | Dr Lauralee Wilson, MD 1919 W Park Dr, North Wilkesboro, NC 28659-3564 Ph: (336) 651-2980 |
Dr. Mira Boone, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1534 W D St, North Wilkesboro, NC 28659 Phone: 336-667-4178 Fax: 336-667-0938 | |
Bryan Wayne Howington, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1370 W D St, North Wilkesboro, NC 28659 Phone: 336-651-8100 Fax: 336-716-0030 | |
Mrs. Sandra K. Baker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1919 W Park Dr, North Wilkesboro, NC 28659 Phone: 336-651-2980 Fax: 336-667-2047 | |
Mark Justin Hylarides, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1370 W D St, North Wilkesboro, NC 28659 Phone: 336-651-8100 Fax: 336-716-0030 | |
Jeffrey Derick, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1919 W Park Dr, North Wilkesboro, NC 28659 Phone: 336-651-2980 Fax: 336-667-2047 | |
Leona Marie Cammock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1370 W D St, North Wilkesboro, NC 28659 Phone: 336-651-8100 Fax: 336-716-0030 |