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Contact Information

LAKE NORMAN PLASTIC SURGERY
LAKE NORMAN MEDICAL & PROFESSIONAL PLAZA, SUITE 106
146 MEDICAL PARK RD.
MOORESVILLE, NC28117
 Phone: 704-658-9921
 Fax: 704-658-9928
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for LAKE NORMAN PLASTIC SURGERY · (Female)

NPI Number 1710916960
Status Active
Credentials
Entity Individual
Enumeration date 07/01/2006
Last updated 03/05/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Other 143AR BLUE CROSS AND BLUE SHIEL
  • NC Other DO2646 RAILROAD MEDICARE
  • NC Other P00667059 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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