Organization · Type 2 NPI

Lake Norman Dermatology, PA

Specialist · Mooresville, NC

NPI number 1184754848 Active

Practice location

140 Leaning Oak Drive, Ste 101
Mooresville, NC 28117-6991

Call (704) 658-9730 Map

Fax (704) 658-1457

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X200500264 (NC)
Dermatology Physician 207N00000X200500264

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2 other providers at this address

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About NPI 1184754848

Lake Norman Dermatology, PA's National Provider Identifier is 1184754848, issued on Mar 6, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mooresville, NC. The record was last updated on May 25, 2021.