Lakeshore Pediatric Center, P.A. in Denver - Pediatrics
Lakeshore Pediatric Center, P.A. - NPI 1366650707
Lakeshore Pediatric Center, P.A. is a Pediatrics in Denver, North Carolina. Lakeshore Pediatric Center, P.A. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lakeshore Pediatric Center, P.A. is 1366650707. The last update date is 2011-02-04.
Lakeshore Pediatric Center, P.A.'s current location address is 275 N Hwy 16, Denver, North Carolina. You can contact this provider via phone number 7044898401 and fax number 7044898404. The mailing address for Lakeshore Pediatric Center, P.A. is 275 N Hwy 16, Denver, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeshore Pediatric Center, P.A. |
|---|---|
| Address | 275 N Hwy 16, Denver, North Carolina |
| Phone Number | 7044898401 |
| Fax Number | 7044898404 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Nadra Wissam |
| Credentials | MD |
| Telephone Number | 7044898401 |
NPI Number Detail
| NPI Number | 1366650707 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2011-02-04 |
Provider Mailing Address Detail
| Address | 275 N Hwy 16 |
|---|---|
| City | Denver |
| State | North Carolina (NC) |
| Post Code | 28037 |
| Phone Number | 7044898401 |
| Fax Number | 7044898404 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 2000-00103 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5950140 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lakeshore Pediatric Center, P.A. by the Centers for Medicare & Medicaid Services?
The Lakeshore Pediatric Center, P.A. has been assigned the NPI (National Provider Identifier) 1366650707 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Lakeshore Pediatric Center, P.A. is physically located?
The Lakeshore Pediatric Center, P.A. is situated at the following address: 275 N Hwy 16, Denver, NC 28037.
What is the Lakeshore Pediatric Center, P.A.'s area of specialization and corresponding taxonomy classification?
The Lakeshore Pediatric Center, P.A.'s specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did Lakeshore Pediatric Center, P.A. receive its 1366650707 assignment from the Centers for Medicare & Medicaid Services?
The Lakeshore Pediatric Center, P.A. was assigned its 1366650707 on 2007-05-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Lakeshore Pediatric Center, P.A., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lakeshore Pediatric Center, P.A., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-02-04.