Search › North Carolina › 363A00000X
Lucas Dietrich, PA
NPI 1689918278 · on the registry since 2012
Practice
- Address
- 3001 Lyndhurst Ave
Winston Salem, NC 27103 - Phone
- (336) 765-0383
- Organisation at this address
- Bethany Medical Center, Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 39
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- CO, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina