Lake Norman Neurology Pa

LBN: Lake Norman Neurology Pa
Lake Norman Neurology Pa is an health care organization with primary practice located at 124 Professional Park Dr Suite A, Mooresville NC 28117-5537. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Lake Norman Neurology Pa can be contacted via phone (704) 662-3077, or through Dufore, Michele M via phone (704) 662-3077.

Contact Information

Primary practice address
124 Professional Park Dr Suite A Mooresville NC 28117-5537
Phone: (704) 662-3077
Fax: (704) 662-3458
Website:
Map and Directions
Authorized official contact:
Name: Dufore, Michele M
Phone: (704) 662-3077

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1356399554
LBN Legal business name Lake Norman Neurology Pa
DBA Doing business as
Authorized official Dufore, Michele M
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Jul 9th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356399554 NPPES
North Carolina MEDICAID 89013KP

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