Lake Norman Urology Pllc
NPI #1134171366 in Mooresville, North Carolina
Provider Information
- NPI Number
- 1134171366
- Entity Type
- Organization
- Organization Name
- Lake Norman Urology Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- May 16, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 137 PROFESSIONAL PARK DRIVE
- Address 2
- SUITE D
- City
- Mooresville
- State
- North Carolina
- ZIP Code
- 28117-8522
- Phone
- (704) 660-3322
Authorized Official
- Name
- MS. G ANNE HAGE
- Title
- OFFICE ADMIN
- Phone
- (704) 660-3322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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