Lake Park Family Practice

LBN: Union Physicians Network Inc
Lake Park Family Practice is an health care organization with primary practice located at 6208 Creft Cir Suite 222, Indian Trail NC 28079-9003. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Union Physicians Network Inc can be contacted via phone (704) 882-1666, or through Wiens, Daniel L via phone (704) 355-0648.

Contact Information

Primary practice address
6208 Creft Cir Suite 222 Indian Trail NC 28079-9003
Fax: (704) 882-2789
Website:
Authorized official contact:
Name: Wiens, Daniel L

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1578572939
LBN Legal business name Union Physicians Network Inc
DBA Doing business as Lake Park Family Practice
Authorized official Wiens, Daniel L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 5th, 2006
Last updated Jun 28th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578572939 NPPES
North Carolina Other 7705363 NC MEDICAID DME SUPPLIER
North Carolina Other 014PK NC MEDICAID DME SUPPLIER
North Carolina MEDICAID 89014PK NC MEDICAID DME SUPPLIER

Popular Providers