Lake Norman Plastic Surgery

LBN: Lake Norman Plastic Surgery
Lake Norman Plastic Surgery is an health care organization with primary practice located at Lake Norman Medical & Professional Plaza, Suite 106 146 Medical Park Rd., Mooresville NC 28117. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Lake Norman Plastic Surgery can be contacted via phone (704) 658-9921, or through Ravin, Adam G via phone (704) 658-9921.

Contact Information

Primary practice address
Lake Norman Medical & Professional Plaza, Suite 106 146 Medical Park Rd. Mooresville NC 28117
Fax: (704) 658-9928
Website:
Authorized official contact:
Name: Ravin, Adam G Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1710916960
LBN Legal business name Lake Norman Plastic Surgery
DBA Doing business as
Authorized official Ravin, Adam G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated Mar 5th, 2009 - about 15 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 1710916960 NPPES
North Carolina Other DO2646 RAILROAD MEDICARE
North Carolina Other P00667059 RAILROAD MEDICARE
North Carolina Other 143AR RAILROAD MEDICARE

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