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Lake Norman Urology Pllc
Specialist in Mooresville, North Carolina
NPI 1134171366

Lake Norman Urology Pllc is a Specialist based in Mooresville, NC. Lake Norman Urology Pllc practices in Mooresville, NC. The NPI Number for Lake Norman Urology Pllc is 1134171366 and holds a License No. (North Carolina).

The current practice location address for Lake Norman Urology Pllc is 137 Professional Park Drive, Mooresville, NC and can be reached out via phone at 704-660-3322 and via fax at 704-660-3330.

Location: 137 Professional Park Drive, Mooresville, NC, 28117-8522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134171366
Provider Name
Lake Norman Urology Pllc
Credential
Provider Entity Type
Organization
Address
137 Professional Park Drive, Mooresville, NC, 28117-8522
Phone Number
704-660-3322
Fax Number
704-660-3330
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
790279R 05 NC
institution
Provider Business Practice Location Address Details
Address
137 Professional Park Drive
City
Mooresville
State
North Carolina
Zip
28117-8522
Phone Number
704-660-3322
Fax Number
704-660-3330
person
Provider Business Mailing Address Details
Address
137 Professional Park Drive
City
Mooresville
State
North Carolina
Zip
28117-8522
Phone Number
704-660-3322
Fax Number
704-660-3330
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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