Lake Norman Dermatology, Pa
LBN: Lake Norman Dermatology, Pa
Lake Norman Dermatology, Pa is an health care organization with primary practice located at 140 Leaning Oak Drive Ste 101, Mooresville NC 28117-6991. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Other Service Providers / Specialist is the primary health care specialty.
Lake Norman Dermatology, Pa can be contacted via phone (704) 658-9730, or through Sugarman, Joel H via phone (704) 658-9730.
Contact Information
Primary practice address
140 Leaning Oak Drive Ste 101
Mooresville NC 28117-6991
Phone: (704) 658-9730
Fax: (704) 658-1457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 200500264 | North Carolina |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 200500264 |
Profile Details
| NPI number | 1184754848 |
|---|---|
| LBN Legal business name | Lake Norman Dermatology, Pa |
| DBA Doing business as | |
| Authorized official | Sugarman, Joel H Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | May 25th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184754848 | NPPES |
| North Carolina | Other | 14002 | BCBS ID NUMBER |
| North Carolina | Other | 021AU | BCBS ID NUMBER |
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