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LILLYKUTTY MODOOR, NURSE PRACTITIONER

NURSE PRACTITIONER

NPI: 1013155969IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse Practitioner

Code: 363L00000X

5004280(NC)

Nurse Practitioner — Family

Code: 363LF0000X

5004280(NC)

Nurse Practitioner — Psychiatric/Mental Health

Code: 363LP0808X

5004280(NC)

CMS Specialties

Education

OTHER

Class of 2012

Contact & Hours

Via practice · 2 locations total

Address
725 Highland Ave Unit 116
Winston Salem, NC 27101

Quick Facts

NPI
1013155969
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
3
Locations
2
Years in Practice
14

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