LAKESHORE WOMEN'S SPECIALIST PC NPI 1609313410

NPI Information

  • NPI: 1609313410
  • Provider Name: LAKESHORE WOMEN'S SPECIALIST, PC
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Organization
  • CLIA Number: 34D1013442
  • Address: 235 MEDICAL PARK RD
    SUITE 201
    MOORESVILLE, NC
    ZIP 28117
  • Phone: (704) 658-9211

Map and Directions

Get Directions

NPI Details

LAKESHORE WOMEN'S SPECIALIST, PC is a gynecology obstetrics gynecology in Mooresville, NC. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee LAKESHORE WOMEN'S SPECIALIST, PC NPI is 1609313410. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

235 MEDICAL PARK RD
SUITE 201
MOORESVILLE, NC
ZIP 28117-545
Phone: (704) 658-9211
Fax: (704) 658-9224

The provider's authorized official is Shelia M Baldwin .
The authorized official title is Director and has the following contact phone number (919) 334-0150.

The CLIA number assigned to this NPI record is 34D1013442 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/31/2017 and was last updated on 1/31/2017.

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
1207VG0400XObstetrics & GynecologyGynecologyYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI