SARAH LEAGUE LYCAN

WINSTON SALEM, NC
NPI1144559303
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NC  5005689)
Enumeration Date2009-12-17
Last Update Date2012-10-05
Business Address
Mrs. SARAH LEAGUE LYCAN CRNP
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
Mailing Address
Mrs. SARAH LEAGUE LYCAN CRNP
PO BOX 602658
CHARLOTTE, NC 28260-2658
Phone number: 336-716-2255
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