Sidney Wilson Lavender, PAC is a surgical physician assistant in Winston Salem, NC. Sidney Wilson Lavender, PAC NPI is 1609859313. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157-001
Phone: (336) 716-2255
Fax: (336) 716-3348
The enumeration date for this NPI number is 11/28/2005 and was last updated on 8/20/2010.