| Novant Health Lakeside Primary Care | |
|
236 Market St Suite 110 Locust NC 28097-9439 | |
| (704) 384-9590 | |
| (704) 384-9591 |
| Full Name | Novant Health Lakeside Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 236 Market St, Locust, 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 Primary Care Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-9590 | Novant Health Lakeside Primary Care 236 Market St Suite 110 Locust NC 28097-9439 Ph: (704) 384-9590 |
| NPI Number | 1114105533 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114105533 | NPI | - | NPPES |
| 5909009 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Carolina) | Primary |
| 207R00000X | Internal Medicine | (North Carolina) | Secondary |
Western Stanly Primary Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Stanly Pkwy, Suite B, Locust, NC 28097 Phone: 704-888-8581 Fax: 704-888-8488 | |
Locust Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Stanly Pkwy, Suite C, Locust, NC 28097 Phone: 704-888-0580 Fax: 704-781-0360 | |
Cabarrus Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Professional Park Dr, Locust, NC 28097 Phone: 704-403-6760 | |
Locust Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Stanly Pkwy, Suite A, Locust, NC 28097 Phone: 704-888-0580 | |
Locust Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Stanly Pkwy, Suite A, Locust, NC 28097 Phone: 704-888-0580 Fax: 704-888-0602 |