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Lake Norman Plastic Surgery
Specialist in Mooresville, North Carolina
NPI 1710916960

Lake Norman Plastic Surgery is a Specialist based in Durham, NC. Lake Norman Plastic Surgery practices in Mooresville, NC. The NPI Number for Lake Norman Plastic Surgery is 1710916960 and holds a License No. (North Carolina).

The current practice location address for Lake Norman Plastic Surgery is Lake Norman Medical & Professional Plaza, Suite 106, Mooresville, NC and can be reached out via phone at 704-658-9921 and via fax at 704-658-9928.

Location: Lake Norman Medical & Professional Plaza, Suite 106, Mooresville, NC, 27704-0133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710916960
Provider Name
Lake Norman Plastic Surgery
Credential
Provider Entity Type
Organization
Address
Lake Norman Medical & Professional Plaza, Suite 106, Mooresville, NC, 27704-0133
Phone Number
704-658-9921
Fax Number
704-658-9928
Provider Enumeration Date
07/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DO2646 01 NC RAILROAD MEDICARE
P00667059 01 NC RAILROAD MEDICARE
143AR 01 NC BLUE CROSS AND BLUE SHIEL
institution
Provider Business Practice Location Address Details
Address
Lake Norman Medical & Professional Plaza, Suite 106
City
Mooresville
State
North Carolina
Zip
28117
Phone Number
704-658-9921
Fax Number
704-658-9928
person
Provider Business Mailing Address Details
Address
Lake Norman Medical & Professional Plaza, Suite 106
City
Mooresville
State
North Carolina
Zip
28117
Phone Number
704-658-9921
Fax Number
704-658-9928
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
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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