| Lake Norman Pain Relief & Wellness | |
|
19315 W Catawba Ave, Suite 100, Cornelius, NC 28031-8650 | |
| (704) 896-1811 | |
| (704) 896-1812 |
| Full Name | Lake Norman Pain Relief & Wellness |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 19315 W Catawba Ave, Cornelius, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780753335 | NPI | - | NPPES |
| 0850X | Other | NC | BCBS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | 3473 (North Carolina) | Primary |
| Provider Name | John J Cipriani |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760571178 PECOS PAC ID: 9638194939 Enrollment ID: I20080104000617 |
| Provider Name | Zachary Hunter Price |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699186494 PECOS PAC ID: 3375769839 Enrollment ID: I20170829003511 |
| Provider Name | Heahter P Caruolo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235762352 PECOS PAC ID: 0941606925 Enrollment ID: I20210831002855 |
| Provider Name | Justin Ryan Resetar |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619650009 PECOS PAC ID: 4486018264 Enrollment ID: I20230912003505 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Norman Pain Relief & Wellness 19315 W Catawba Ave, Suite 100, Cornelius, NC 28031-8650 Ph: (704) 896-1811 | Lake Norman Pain Relief & Wellness 19315 W Catawba Ave, Suite 100, Cornelius, NC 28031-8650 Ph: (704) 896-1811 |
Dr. Laura Anne Jussila Watterson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 19924 Jetton Rd, Cornelius, NC 28031 Phone: 704-896-8446 | |
Dr. Michael Wayne Chandler, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 19824 W Catawba Ave Ste E, Cornelius, NC 28031 Phone: 704-655-8930 Fax: 704-655-8932 | |
Lakeside Sports Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 19924 Jetton Rd Ste 101, Cornelius, NC 28031 Phone: 704-896-8446 Fax: 704-896-8495 | |
Jon Michael Vezendy, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 20723 Torrence Chapel Rd, Ste 201, Cornelius, NC 28031 Phone: 704-895-2240 Fax: 704-765-4077 | |
Michael W. Chandler Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 19824 W Catawba Ave Ste E, Cornelius, NC 28031 Phone: 704-655-8930 Fax: 704-655-8932 | |
Cre Group Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 19109 W Catawba Ave Ste 100, Cornelius, NC 28031 Phone: 704-237-4010 | |
Dr. Jennifer Marie Lidstrom, M.S.,D.C.,P.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 19924 Jetton Rd, Suite 101, Cornelius, NC 28031 Phone: 704-876-8446 Fax: 704-896-8495 |