Provider Demographics
NPI:1093856395
Name:LANKTON, BARBARA BALLOW (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:BALLOW
Last Name:LANKTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1066 WEST FOURTH ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-2434
Mailing Address - Country:US
Mailing Address - Phone:336-723-8300
Mailing Address - Fax:
Practice Address - Street 1:1066 WEST FOURTH ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-2434
Practice Address - Country:US
Practice Address - Phone:336-723-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC216732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8950923Medicaid
NC203108Medicare ID - Type Unspecified
C86631Medicare UPIN