Lisa Ann Summers, MD | |
100 Medical Park Dr, Ste 310, Concord, NC 28025-2948 | |
(704) 403-2660 | |
Not Available |
Full Name | Lisa Ann Summers |
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Gender | Female |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 100 Medical Park Dr, Concord, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619992344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2013-00408 (North Carolina) | Secondary |
2080P0206X | Pediatrics - Pediatric Gastroenterology | 2013-00408 (North Carolina) | Primary |
Entity Name | Carolinas Physicians Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
Mailing Address | Practice Location Address |
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Lisa Ann Summers, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Lisa Ann Summers, MD 100 Medical Park Dr, Ste 310, Concord, NC 28025-2948 Ph: (704) 403-2660 |
Laura Jean Mock, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1040 Vinehaven Drive, Concord, NC 28025 Phone: 704-784-1010 Fax: 704-784-1013 | |
Amanda Lynn Cook, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Ste 310, Concord, NC 28025 Phone: 704-403-2860 | |
Andrew Zachary Heling, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Ste 310, Concord, NC 28025 Phone: 704-403-2660 | |
Robert A Nahouraii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 70 Lake Concord Rd Ne, Concord, NC 28025 Phone: 704-355-9794 | |
Kevin Michael Tompkins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3664 | |
Rula Musa Freiji, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Suite 310, Concord, NC 28025 Phone: 704-403-2660 | |
Joel Lutterman, Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3664 |