Doctor Name: | DR. UREH NNENNA LEKWAUWA |
NPI Number: | 1154366375 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 38530 |
Business Practice Address: | 3333 Silas Creek Pkwy Winston Salem, NC - 271033013 |
Business Phone Number: | 3367182500 |
Business Fax Number: | 3367189814 |
Mailing Address: | Po Box 15644, WINSTON SALEM |
State: | NC |
Postal Code: | 271130644 |
Phone Number: | 3367608634 |
Fax Number: | 3367149111 |
NPI Enumeration Date: | 06/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 38530 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |