Lake Norman Hematology and Oncology Specialists PA
NPI #1104854587 in Mooresville, North Carolina
Provider Information
- NPI Number
- 1104854587
- Entity Type
- Organization
- Organization Name
- Lake Norman Hematology and Oncology Specialists PA
- Primary Specialty
- Internal Medicine - Hematology & Oncology
- Enumeration Date
- Jun 28, 2006
- Last Updated
- Apr 11, 2017
Practice Location
- Address
- 170 MEDICAL PARK RD
- Address 2
- SUITE 101
- City
- Mooresville
- State
- North Carolina
- ZIP Code
- 28117-8540
- Phone
- (704) 799-3946
Authorized Official
- Name
- DR. RICHARD KRUMDIECK, M.D.
- Title
- PRESIDENT
- Phone
- (704) 799-3946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Hematology & Oncology — Hematology & Oncology |
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