Provider Demographics
NPI:1104859305
Name:ESKEW, LAWRENCE ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:ANDREW
Last Name:ESKEW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:336-277-1717
Mailing Address - Fax:336-277-1718
Practice Address - Street 1:3333 SILAS CREEK PKWY
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3013
Practice Address - Country:US
Practice Address - Phone:336-277-1717
Practice Address - Fax:336-277-1718
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC94-01183208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCCC4241OtherRR MEDICARE GROUP #
NC340017061OtherRRMC INDIVIDUAL #
NC891237RMedicaid
NC1237ROtherBCBS
NCH02764Medicare UPIN
NC891237RMedicaid
NC2278669Medicare PIN
NC1237ROtherBCBS