| NPI | 1023413580 |
|---|---|
| Doing Business As | C/O LAVINIA REYES MD |
| Entity Type | Organization |
| Authorized Contact | LAVINIA T REYES Owner/President 919-556-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-11-10 |