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Lake Norman Integrative Psychiatry
Medical Specialty Clinic/Center in Mooresville, North Carolina
NPI 1174738520

Lake Norman Integrative Psychiatry is a Medical Specialty Clinic/Center based in Mooresville, NC and is specialized in Medical Specialty. Lake Norman Integrative Psychiatry practices in Mooresville, NC. The NPI Number for Lake Norman Integrative Psychiatry is 1174738520 and holds a License No. 34660 (North Carolina).

The current practice location address for Lake Norman Integrative Psychiatry is 116 S Main St Ste 301, Mooresville, NC and can be reached out via phone at 704-662-3200 and via fax at 704-662-1247.

Location: 116 S Main St Ste 301, Mooresville, NC, 28115-2373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174738520
Provider Name
Lake Norman Integrative Psychiatry
Credential
Provider Entity Type
Organization
Address
116 S Main St Ste 301, Mooresville, NC, 28115-2373
Phone Number
704-662-3200
Fax Number
704-662-1247
Provider Enumeration Date
05/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7951148 05 NC
1407879851 01 NC DR LATZ NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
116 S Main St Ste 301
City
Mooresville
State
North Carolina
Zip
28115-2373
Phone Number
704-662-3200
Fax Number
704-662-1247
person
Provider Business Mailing Address Details
Address
116 S Main St Ste 301
City
Mooresville
State
North Carolina
Zip
28115-2373
Phone Number
704-662-3200
Fax Number
704-662-1247
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
34660 (North Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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