Lawrence S Slotnick, MD

Individual provider Active NPI Pulmonary Disease Physician · Madison, NC

NPI 1477544674 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1477544674
Entity type
Individual (NPI type 1)
Primary specialty
Pulmonary Disease Physician 207RP1001X
License
21720 (NC)
Practice address
401 W Decatur St
Madison, NC 27025-1913
Phone
(336) 548-9618
Fax
(336) 445-2227
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21720NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western Rockingham Family Medicine PA Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 21720 NC Yes

Addresses

Primary practice location

401 W Decatur St
Madison, NC 27025-1913

Mailing address

401 W Decatur St
Madison, NC 27025-1913
Phone (336) 548-9618

Other identifiers

IdentifierTypeStateIssuer
77075OtherNCBCBS OF NC
3683OtherNCPARTNERS MEDICARE
C3857OtherNCMEDCOST
8977075MedicaidNC
4800239OtherNCUNITED HEALTHCARE

Other providers in Madison, NC

All providers in Madison, NC · Pulmonary Disease Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.