| Lakeshore Endocrinology | |
|
134 Medical Park Rd Suite 108 Mooresville NC 28117-8526 | |
| (704) 660-4669 | |
| (704) 660-4295 |
| Full Name | Lakeshore Endocrinology |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 134 Medical Park Rd, Mooresville, North Carolina |
| Authorized Official Name and Position | Jennifer L Jackson (SR DIR PROV ENROLLMENT & ONBOARDING) |
| Authorized Official Contact | 6154653334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Endocrinology 4000 Meridian Blvd Franklin TN 37067-6325 Ph: (615) 465-7230 | Lakeshore Endocrinology 134 Medical Park Rd Suite 108 Mooresville NC 28117-8526 Ph: (704) 660-4669 |
| NPI Number | 1710384466 |
|---|---|
| Provider Enumeration Date | 11/24/2014 |
| Last Update Date | 01/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710384466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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