LAKE NORMAN ANESTHESIA ASSOCIATES NPI 1386753457

NPI Information

  • NPI: 1386753457
  • Provider Name: LAKE NORMAN ANESTHESIA ASSOCIATES
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 34D2000135
  • Address: 146 MEDICAL PARK RD
    SUITE 108
    MOORESVILLE, NC
    ZIP 28117
  • Phone: (704) 662-0877

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NPI Details

LAKE NORMAN ANESTHESIA ASSOCIATES is a specialist in Mooresville, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LAKE NORMAN ANESTHESIA ASSOCIATES NPI is 1386753457. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

146 MEDICAL PARK RD
SUITE 108
MOORESVILLE, NC
ZIP 28117-528
Phone: (704) 662-0877
Fax: (704) 662-0875

The provider's authorized official is Gina M Wozny .
The authorized official title is Office Manager and has the following contact phone number (704) 662-0876.

The CLIA number assigned to this NPI record is 34D2000135 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 5/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12314565MEDICARE UPINNORTH CAROLINA
2890200HMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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