Individual provider · Type 1 NPI

Lily Dejavu Le Handt

Specialist · Winston Salem, NC

NPI number 1306561055 Active

Practice location

141 S Stratford Rd
Winston Salem, NC 27104-4213

Call (336) 997-9395 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1306561055

Lily Dejavu Le Handt's National Provider Identifier is 1306561055, issued on Oct 5, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 5, 2022.