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LORETTA LEE MUCHOW NP

Individual Provider (NPI-1) Active

Nurse Practitioner

Provider Information

NPI Number
1790413193
Provider Type
Individual Provider (NPI-1)
Credentials
NP
Status
Active

Contact & Location

Address
MEDICAL CENTER BLVD. NEUROSURGERY, WINSTON-SALEM, NC, 271570001
Phone
(367) 164-0813
Fax
(336) 716-3065

Specialties & Taxonomies

Family Medicine License: NC #5016673
Neurological Surgery License: NC #5016673
Nurse Practitioner Primary License: NC #5016673

All Addresses

LOCATION

MEDICAL CENTER BLVD. NEUROSURGERY

WINSTON-SALEM, NC, 271570001

(367) 164-0813

MAILING

100 KIMEL FOREST DR

WINSTON SALEM, NC, 271036074

(336) 716-0238