Gabriele E Achatz-Lewis, CO, LO

Individual provider Active NPI Orthotist · Winston Salem, NC

NPI 1669733358 · NPPES record last updated Mar 7, 2017

Key facts

NPI
1669733358
Entity type
Individual (NPI type 1)
Primary specialty
Orthotist 222Z00000X
License
1003 (TX)
Practice address
2534 Empire Dr
Winston Salem, NC 27103-6710
Phone
(336) 397-2165
Fax
(336) 397-2167
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1003TXMDOrthotist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 1003 TX Yes

Addresses

Primary practice location

2534 Empire Dr
Winston Salem, NC 27103-6710

Mailing address

208 Ashville Ave
Ste 16
Cary, NC 27518-6678
Phone (919) 851-7385

Other identifiers

IdentifierTypeStateIssuer
294093401MedicaidTX

Other providers in Winston Salem, NC

All providers in Winston Salem, NC · Orthotist in North Carolina

Sources for this page

Verify at the official NPI Registry.