Simone Autry-Lott
Obstetrics & Gynecology in Greensboro, NC. Individual provider (NPI-1).
NPI number1013536341
StatusActive
Last updated in NPPESApr 6, 2026
Details
- NPI
- 1013536341
- Entity type
- Individual (NPI-1)
- Name
- Simone Autry-Lott
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2020
- Certification date
- Apr 6, 2026
- Last updated
- Apr 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 2023-00399 | NC | Yes |
| 207Q00000X | Family Medicine | 2023-00399 | NC | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
301 E Wendover Ave Ste 300Greensboro, NC 27401-1231
Phone 336-268-3380 · Fax 336-268-3381
Mailing address
301 E Wendover Ave Ste 300Greensboro, NC 27401-1231
Phone 336-268-3380 · Fax 336-268-3381
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