Provider Demographics
NPI:1720375231
Name:BRANYON, LAUREN ELIZABETH (MMS, PA-C)
Entity Type:Individual
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First Name:LAUREN
Middle Name:ELIZABETH
Last Name:BRANYON
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Gender:F
Credentials:MMS, PA-C
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Mailing Address - Street 1:3288 ROBINHOOD RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-5464
Mailing Address - Country:US
Mailing Address - Phone:336-768-3335
Mailing Address - Fax:336-768-4171
Practice Address - Street 1:3288 ROBINHOOD RD
Practice Address - Street 2:SUITE 202
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-5464
Practice Address - Country:US
Practice Address - Phone:336-768-3335
Practice Address - Fax:336-768-4171
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2013-09-12
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Provider Licenses
StateLicense IDTaxonomies
NC0010-02935363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant