Organization · Type 2 NPI

Lakeside Surgical Associates, PA

Specialist · Mooresville, NC

NPI number 1487709713 Active

Practice location

150 Fairview Rd, Suite 300
Mooresville, NC 28117-9504

Call (704) 664-6677 Map

Fax (704) 663-1009

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X9600335 (NC)

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.

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About NPI 1487709713

Lakeside Surgical Associates, PA's National Provider Identifier is 1487709713, issued on Jan 25, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mooresville, NC. The record was last updated on Jul 6, 2010.