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UNION PHYSICIANS NETWORK INC NPI 1578572939


NPI Information

NPI: 1578572939
Provider Name: UNION PHYSICIANS NETWORK INC

Doing Business As: LAKE PARK FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
6208 CREFT CIR
SUITE 222
INDIAN TRAIL, NC
ZIP 28079
Phone: (704) 882-1666
Get Directions

UNION PHYSICIANS NETWORK INC is a family medicine in Indian Trail, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. UNION PHYSICIANS NETWORK INC NPI is 1578572939. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lake Park Family Practice.

The provider's business location address is:

6208 CREFT CIR
SUITE 222
INDIAN TRAIL, NC
ZIP 28079-003
Phone: (704) 882-1666
Fax: (704) 882-2789

The provider's authorized official is Daniel L Wiens .
The authorized official title is Senior Vice President and has the following contact phone number (704) 355-0648.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 6/28/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12332468MEDICARE PINNORTH CAROLINA
27705363OTHERNORTH CAROLINANC MEDICAID DME SUPPLIER
35701240001MEDICARE NSCNORTH CAROLINA
489014PKMEDICAIDNORTH CAROLINA
5014PKOTHERNORTH CAROLINABLUE CROSS - BLUE SHIELD

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: 11/14/2023

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