National Provider Identifier Database

LAKE NORMAN EARS NOSE AND THROAT PA
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.


Contact Information

LAKE NORMAN EARS NOSE AND THROAT PA
140 GATEWAY BLVD
MOORESVILLE, NC28117
Phone: 704-664-9638
Fax: 704-664-1859
Website:
Specialty Taxonomy Code
* Otolaryngology 207Y00000X

* Indicates primary specialty

NPI Profile & details for LAKE NORMAN EARS NOSE AND THROAT PA

NPI Number 1306870902
Legal business name
LBN
LAKE NORMAN EARS NOSE AND THROAT PA
Authorized official HERBERT WETTREICH - (MD)
Entity Organization
Organization subpart No
Enumeration date 07/10/2006
Last updated 12/09/2009 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 5912716
  • NC Medicaid: 8986676
  • NC Other: 0270K BCBS
  • NC Other: 1781857 UNITED HEALTHCARE

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.

Reviews for LAKE NORMAN EARS NOSE AND THROAT PA

There are currently no reviews for LAKE NORMAN EARS NOSE AND THROAT PA


NPIdb - Home
v2.201