Lakeshore Internal Medicine

LBN: Mooresville Ppm Llc
Lakeshore Internal Medicine is an health care organization with primary practice located at 157 Professional Park Dr Suite A, Mooresville NC 28117-5605. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mooresville Ppm Llc can be contacted via phone (704) 662-3967, or through Jackson, Jennifer L via phone (615) 465-3334.

Contact Information

Primary practice address
157 Professional Park Dr Suite A Mooresville NC 28117-5605
Phone: (704) 662-3967
Fax: (704) 662-3975
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jennifer L
Phone: (615) 465-3334

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1912287467
LBN Legal business name Mooresville Ppm Llc
DBA Doing business as Lakeshore Internal Medicine
Authorized official Jackson, Jennifer L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 27th, 2011
Last updated Jan 14th, 2022 - 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.

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