Novant Health Lakeside Family Physicians

LBN: Novant Health Medical Group, Llc
Novant Health Lakeside Family Physicians is an health care organization with primary practice located at 19485 Old Jetton Rd Suite 100, Cornelius NC 28031-6583. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Novant Health Medical Group, Llc can be contacted via phone (704) 384-1775, or through Walton, Leea Jeanine via phone (704) 316-6081.

Contact Information

Primary practice address
19485 Old Jetton Rd Suite 100 Cornelius NC 28031-6583
Phone: (704) 384-1775
Fax: (704) 384-1776
Website:
Map and Directions
Authorized official contact:
Name: Walton, Leea Jeanine
Phone: (704) 316-6081

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1356394308
LBN Legal business name Novant Health Medical Group, Llc
DBA Doing business as Novant Health Lakeside Family Physicians
Authorized official Walton, Leea Jeanine
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Jul 9th, 2024 - about 2 months 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 1356394308 NPPES
North Carolina Other 0215V BCBS-NC
North Carolina MEDICAID 5903870 BCBS-NC

Popular Providers