Lake Norman Medical, Pllc
NPI #1699300822 in Statesville, North Carolina
Provider Information
- NPI Number
- 1699300822
- Entity Type
- Organization
- Organization Name
- Lake Norman Medical, Pllc
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Mar 9, 2020
- Last Updated
- Oct 26, 2021
Practice Location
- Address
- 1661 DAVIE AVE
- City
- Statesville
- State
- North Carolina
- ZIP Code
- 28677-3519
- Phone
- (704) 495-2470
Authorized Official
- Name
- RONALD ADAMS
- Title
- AUTHORIZED OFFICIAL
- Phone
- (704) 495-2470
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Physical Medicine & Rehabilitation |
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