Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Marie Lawing Koutlas, MD

Individual provider Allergy & Immunology Physician · NPI 1750887915

Nicole Marie Lawing Koutlas, MD is an Allergy/Immunology in Winston Salem, North Carolina. Graduated from North Carolina Medical School in 2018, 8 years ago. Practices with Allergy Partners PLLC, a 143-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Trained at
North Carolina Medical School
Licensed in
NC
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1372 Westgate Center Dr
Winston Salem, NC 27103-2932
Phone: (336) 659-4814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 2021-01464 (NC)

Record details

NPI number1750887915
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2018
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolNORTH CAROLINA MEDICAL SCHOOL
Graduated 2018 (8 years in practice)
Group practice Allergy Partners Pllc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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