institution
Lake Norman Surgical Assisting
Surgical Physician Assistant in Mooresville, North Carolina
NPI 1093005878

Lake Norman Surgical Assisting is a Surgical Physician Assistant based in Mooresville, NC and is specialized in Surgical. Lake Norman Surgical Assisting practices in Mooresville, NC. The NPI Number for Lake Norman Surgical Assisting is 1093005878 and holds a License No. 101593 (North Carolina).

The current practice location address for Lake Norman Surgical Assisting is 1130 Grace Meadow Dr, Mooresville, NC and can be reached out via phone at 704-663-4989.

Location: 1130 Grace Meadow Dr, Mooresville, NC, 28115-2789
institution
Provider Profile Details
NPI Number
1093005878
Provider Name
Lake Norman Surgical Assisting
Credential
Provider Entity Type
Organization
Address
1130 Grace Meadow Dr, Mooresville, NC, 28115-2789
Phone Number
704-663-4989
Fax Number
Provider Enumeration Date
04/13/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2348238 01 MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
1130 Grace Meadow Dr
City
State
Zip
28115-2789
Phone Number
704-663-4989
Fax Number
person
Provider Business Mailing Address Details
Address
1130 Grace Meadow Dr
City
State
Zip
28115-2789
Phone Number
704-663-4989
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
101593 (North Carolina)
Definition
Definition to come...
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