Provider Demographics
NPI:1184915340
Name:TALBOTT, ASHLEY LESCANEC
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LESCANEC
Last Name:TALBOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:PAIGE
Other - Last Name:LESCANEC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-1009
Mailing Address - Country:US
Mailing Address - Phone:336-716-5222
Mailing Address - Fax:336-716-6415
Practice Address - Street 1:MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-1009
Practice Address - Country:US
Practice Address - Phone:336-716-5222
Practice Address - Fax:336-716-6415
Is Sole Proprietor?:No
Enumeration Date:2011-04-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2013-01662207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine