Lakeside Surgical Associates, Pa

LBN: Lakeside Surgical Associates, Pa
Lakeside Surgical Associates, Pa is an health care organization with primary practice located at 150 Fairview Rd Suite 300, Mooresville NC 28117-9504. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Lakeside Surgical Associates, Pa can be contacted via phone (704) 664-6677, or through Hall, Gregory B via phone (704) 664-6677.

Contact Information

Primary practice address
150 Fairview Rd Suite 300 Mooresville NC 28117-9504
Phone: (704) 664-6677
Fax: (704) 663-1009
Website:
Map and Directions
Authorized official contact:
Name: Hall, Gregory B M. D., F.A.C.S
Phone: (704) 664-6677

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9600335 North Carolina

Profile Details

NPI number 1487709713
LBN Legal business name Lakeside Surgical Associates, Pa
DBA Doing business as
Authorized official Hall, Gregory B M. D., F.A.C.S
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 6th, 2010 - about 14 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 1487709713 NPPES
North Carolina MEDICAID 8938320

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