Lake Norman Integrative Psychiatry
NPI #1174738520 in Mooresville, North Carolina
Provider Information
- NPI Number
- 1174738520
- Entity Type
- Organization
- Organization Name
- Lake Norman Integrative Psychiatry
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- May 11, 2007
- Last Updated
- Oct 3, 2007
Practice Location
- Address
- 116 S MAIN ST STE 301
- City
- Mooresville
- State
- North Carolina
- ZIP Code
- 28115-2373
- Phone
- (704) 662-3200
Authorized Official
- Name
- DR. TRACY THOMPSON LATZ, M.D., M.S.
- Title
- SOLE OWNER
- Phone
- (704) 662-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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