Lake Norman Urology Pllc

LBN: Lake Norman Urology Pllc
Lake Norman Urology Pllc is an health care organization with primary practice located at 137 Professional Park Drive Suite D, Mooresville NC 28117-8522. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Lake Norman Urology Pllc can be contacted via phone (704) 660-3322, or through Hage, G Anne via phone (704) 660-3322.

Contact Information

Primary practice address
137 Professional Park Drive Suite D Mooresville NC 28117-8522
Phone: (704) 660-3322
Fax: (704) 660-3330
Website:
Map and Directions
Authorized official contact:
Name: Hage, G Anne
Phone: (704) 660-3322

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X North Carolina

Profile Details

NPI number 1134171366
LBN Legal business name Lake Norman Urology Pllc
DBA Doing business as
Authorized official Hage, G Anne
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134171366 NPPES
North Carolina MEDICAID 790279R

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