Organization · Type 2 NPI
Lakeshore Women's Specialist, PC
Gynecology Physician · Mooresville, NC
NPI number
1609313410
Active
Practice location
235 Medical Park Rd, Suite 201
Mooresville, NC 28117-8545
Fax (704) 658-9224
Mailing address
4020 Westchase Blvd, Suite 475
Raleigh, NC 27607-3938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician Primary | 207VG0400X | None listed |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Another provider at this address
About NPI 1609313410
Lakeshore Women's Specialist, PC's National Provider Identifier is 1609313410, issued on Jan 31, 2017. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Mooresville, NC. The record was last updated on Jan 31, 2017.