| Novant Health Lakeside Family Physicians | |
|
19485 Old Jetton Rd Suite 100 Cornelius NC 28031-6583 | |
| (704) 384-1775 | |
| (704) 384-1776 |
| Full Name | Novant Health Lakeside Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 19485 Old Jetton Rd, Cornelius, North Carolina |
| Authorized Official Name and Position | Leea Jeanine Walton (RCS MANAGER) |
| Authorized Official Contact | 7043166081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Health Lakeside Family Physicians Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-1775 | Novant Health Lakeside Family Physicians 19485 Old Jetton Rd Suite 100 Cornelius NC 28031-6583 Ph: (704) 384-1775 |
| NPI Number | 1356394308 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356394308 | NPI | - | NPPES |
| 0215V | Other | NC | BCBS-NC |
| 5903870 | Medicaid | NC |
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