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General NPI Number Information
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NPI Number | 1255549804
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Entity Type | Organization
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Legal Business Name | TRIANGLE SPINE AND BACK CARE CENTER, PLLC
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 3320 WAKE FOREST RD SUITE 430
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City | RALEIGH
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State | NC
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Zip | 27609-7300
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Country | US
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Telephone | 919-876-7676
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Fax | 919-876-7163
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Provider Business Mailing Address
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Address Line | 3320 WAKE FOREST RD SUITE 430
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City | RALEIGH
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State | NC
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Zip | 27609-7300
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Country | US
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Telephone | 919-876-7676
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Fax | 919-876-7163
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. WILLIAM FRANCIS LESTINI
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Credential | M.D.
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Telephone | 919-876-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 35960
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License Number State | NC
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