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LAKE NORMAN HEMATOLOGY ONCOLOGY SPECIALISTS PA NPI 1376568378


NPI Information

NPI: 1376568378
Provider Name: LAKE NORMAN HEMATOLOGY ONCOLOGY SPECIALISTS, PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
170 MEDICAL PARK RD
SUITE 101
MOORESVILLE, NC
ZIP 28117
Phone: (704) 799-3946
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LAKE NORMAN HEMATOLOGY ONCOLOGY SPECIALISTS, PA is a specialist in Mooresville, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LAKE NORMAN HEMATOLOGY ONCOLOGY SPECIALISTS, PA NPI is 1376568378. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

170 MEDICAL PARK RD
SUITE 101
MOORESVILLE, NC
ZIP 28117-540
Phone: (704) 799-3946
Fax: (704) 799-3956

The provider's authorized official is Richard Krumdieck .
The authorized official title is President and has the following contact phone number (704) 799-3946.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 1/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist9701019NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12280628CMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAEAGLE, DAVID A
2H16149MEDICARE UPINNORTH CAROLINA
32245302DMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAKRUMDIECK, RICHARD
4E20805MEDICARE UPINNORTH CAROLINA
5I37030MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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