LAKESHORE WOMEN'S SPECIALIST PC NPI 1821141656

NPI Information

  • NPI: 1821141656
  • Provider Name: LAKESHORE WOMEN'S SPECIALIST, PC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 146 MEDICAL PARK RD
    SUITE 206
    MOORESVILLE, NC
    ZIP 28117
  • Phone: (704) 658-9211

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NPI Details

LAKESHORE WOMEN'S SPECIALIST, PC is an obstetrics gynecology in Mooresville, NC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. LAKESHORE WOMEN'S SPECIALIST, PC NPI is 1821141656. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

146 MEDICAL PARK RD
SUITE 206
MOORESVILLE, NC
ZIP 28117-528
Phone: (704) 658-9211
Fax: (704) 658-9224

The provider's authorized official is Karen Kochalka .
The authorized official title is Office Manager and has the following contact phone number (704) 658-9211.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/22/2020.

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
1207V00000XObstetrics & GynecologyYes

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

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