MEDICARE: VALAORAS AND LEWIS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013986355
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALAORAS AND LEWIS PA

Provider Business Mailing Address
First Line	:	245 CHARLOIS BLVD
Second Line	:
City	:	WINSTON-SALEM
State	:	NC
Zip	:	27103-1507
Country	:	US
Telephone Number	:	336-659-4777
Fax Number	:	336-659-4798

Provider Business Practice Location Address
First Line	:	245 CHARLOIS BLVD
Second Line	:
City	:	WINSTON-SALEM
State	:	NC
Zip	:	27103-1507
Country	:	US
Telephone Number	:	336-659-4777
Fax Number	:	336-659-4798

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. JULIE J. JACOBSON
Credential	:	LPN
Telephone Number	:	336-659-4777

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	02/11/2013

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1154380111 — DR. THOMAS G VALAORAS M.D.
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1285693242 — DR. ANDREW JON LEWIS M.D.
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Practice Location Address:

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Directions to “VALAORAS AND LEWIS PA ” Practice Location

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