LAKE NORMAN DERMATOLOGY, PA
Organization (NPI-2)
Active
Specialist
Provider Information
- NPI Number
1184754848- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 140 LEANING OAK DRIVE STE 101, MOORESVILLE, NC, 281176991
- Phone
- (704) 658-9730
- Fax
- (704) 658-1457
Specialties & Taxonomies
Dermatology
#200500264
Specialist
Primary License: NC #200500264