Lake Norman Ears Nose And Throat Pa in Mooresville - Otolaryngology
Lake Norman Ears Nose And Throat Pa - NPI 1306870902
Lake Norman Ears Nose And Throat Pa is a Otolaryngology in Mooresville, North Carolina. Lake Norman Ears Nose And Throat Pa practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Lake Norman Ears Nose And Throat Pa is 1306870902. The last update date is 2009-12-09.
Lake Norman Ears Nose And Throat Pa's current location address is 140 Gateway Blvd, Mooresville, North Carolina. You can contact this provider via phone number 7046649638 and fax number 7046641859. The mailing address for Lake Norman Ears Nose And Throat Pa is 140 Gateway Blvd, Mooresville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Norman Ears Nose And Throat Pa |
|---|---|
| Address | 140 Gateway Blvd, Mooresville, North Carolina |
| Phone Number | 7046649638 |
| Fax Number | 7046641859 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD |
|---|---|
| Authorized Official Name | Wettreich Lee Herbert |
| Credentials | MD |
| Telephone Number | 7046649368 |
NPI Number Detail
| NPI Number | 1306870902 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2009-12-09 |
Provider Mailing Address Detail
| Address | 140 Gateway Blvd |
|---|---|
| City | Mooresville |
| State | North Carolina (NC) |
| Post Code | 28117 |
| Phone Number | 7046649638 |
| Fax Number | 7046641859 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
|
Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1781857 | NC | UNITED HEALTHCARE | |
| 8986676 | NC | -- | |
| 0270K | NC | BCBS | |
| 5912716 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lake Norman Ears Nose And Throat Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Lake Norman Ears Nose And Throat Pa has been assigned the NPI (National Provider Identifier) 1306870902. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Lake Norman Ears Nose And Throat Pa is physically located?
The Lake Norman Ears Nose And Throat Pa is situated at the following address: 140 Gateway Blvd, Mooresville, NC 28117.
What is the area of specialization for Lake Norman Ears Nose And Throat Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lake Norman Ears Nose And Throat Pa is Otolaryngology, and the corresponding taxonomy code that categorizes this area of expertise is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306870902 to Lake Norman Ears Nose And Throat Pa?
The Lake Norman Ears Nose And Throat Pa received its 1306870902 assignment from the Centers for Medicare & Medicaid Services on 2006-07-10.
When was the information regarding Lake Norman Ears Nose And Throat Pa most recently updated?
The details pertaining to the Lake Norman Ears Nose And Throat Pa, including its address, specialty, and other relevant information, were last refreshed on 2009-12-09.
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