Lake Norman Hematology Oncology Specialists, PA

NPI #1376568378 in Mooresville, North Carolina

Provider Information

NPI Number: 1376568378
Entity Type: Organization
Organization Name: Lake Norman Hematology Oncology Specialists, PA
Primary Specialty: Specialist
Enumeration Date: Jul 12, 2006
Last Updated: Jan 23, 2008

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, MD
Title: PRESIDENT
Phone: (704) 799-3946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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