NPI 1023167616
Lashay Ravon Surratt
Practice location
- Address
- 2000 Northcliffe Dr APT 509, Winston Salem, NC 27106-3350
- Phone
- (336) 918-4975
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1023167616
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Jan 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.