Organization · Type 2 NPI

Lake Breeze Ent & Allergy PC

Otolaryngology Physician · Mooresville, NC

NPI number 1487920443 Active

Practice location

149 Plantation Ridge Dr, Suite 190
Mooresville, NC 28117-9174

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X2011-01689 (NC)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1487920443

Lake Breeze Ent & Allergy PC's National Provider Identifier is 1487920443, issued on Mar 23, 2012. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Mooresville, NC. The record was last updated on Mar 23, 2012.