Lake Norman Integrative Psychiatry in Mooresville - Medical Specialty
Lake Norman Integrative Psychiatry - NPI 1174738520
Lake Norman Integrative Psychiatry is a Medical Specialty in Mooresville, North Carolina. Lake Norman Integrative Psychiatry practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Lake Norman Integrative Psychiatry is 1174738520. The last update date is 2007-10-03.
Lake Norman Integrative Psychiatry's current location address is 116 S Main St Ste 301, Mooresville, North Carolina. You can contact this provider via phone number 7046623200 and fax number 7046628731. The mailing address for Lake Norman Integrative Psychiatry is 116 S Main St Ste 301, Mooresville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Norman Integrative Psychiatry |
|---|---|
| Address | 116 S Main St Ste 301, Mooresville, North Carolina |
| Phone Number | 7046623200 |
| Fax Number | 7046628731 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE OWNER |
|---|---|
| Authorized Official Name | Latz Thompson Tracy |
| Credentials | M.D., M.S. |
| Telephone Number | 7046623200 |
NPI Number Detail
| NPI Number | 1174738520 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2007-10-03 |
Provider Mailing Address Detail
| Address | 116 S Main St Ste 301 |
|---|---|
| City | Mooresville |
| State | North Carolina (NC) |
| Post Code | 281152373 |
| Phone Number | 7046623200 |
| Fax Number | 7046628731 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 34660 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7951148 | NC | -- | |
| 1407879851 | NC | DR LATZ NPI NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Lake Norman Integrative Psychiatry by the Centers for Medicare & Medicaid Services?
The Lake Norman Integrative Psychiatry has been assigned the NPI (National Provider Identifier) 1174738520. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lake Norman Integrative Psychiatry located?
The Lake Norman Integrative Psychiatry is located at 116 S Main St Ste 301, Mooresville, NC 281152373.
What is Lake Norman Integrative Psychiatry's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lake Norman Integrative Psychiatry's specialized field of practice is Medical Specialty, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm2500X.
When was the Lake Norman Integrative Psychiatry's 1174738520 issued?
The Lake Norman Integrative Psychiatry's 1174738520 was issued on 2007-05-11.
As of what date were the details pertaining to Lake Norman Integrative Psychiatry last refreshed?
The information related to the Lake Norman Integrative Psychiatry, including its address, specialty, and other relevant details, was last updated on 2007-10-03.