Lake Norman Integrative Psychiatry

LBN: Lake Norman Integrative Psychiatry
Lake Norman Integrative Psychiatry is an health care organization with primary practice located at 116 S Main St Ste 301 , Mooresville NC 28115-2373. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Lake Norman Integrative Psychiatry can be contacted via phone (704) 662-3200, or through Latz, Tracy Thompson via phone (704) 662-3200.

Contact Information

Primary practice address
116 S Main St Ste 301 Mooresville NC 28115-2373
Phone: (704) 662-3200
Fax: (704) 662-1247
Website:
Map and Directions
Authorized official contact:
Name: Latz, Tracy Thompson M.D., M.S.
Phone: (704) 662-3200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 34660 North Carolina

Profile Details

NPI number 1174738520
LBN Legal business name Lake Norman Integrative Psychiatry
DBA Doing business as
Authorized official Latz, Tracy Thompson M.D., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2007
Last updated Oct 3rd, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174738520 NPPES
North Carolina MEDICAID 7951148
North Carolina Other 1407879851

Popular Providers