NPI | 1093976474 |
---|---|
Doing Business As | NOVANT HEALTH LAKESIDE PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | LEEA JEANINE WALTON Rcs Manager 704-316-6081 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2008-06-19 |
Last Update Date | 2024-07-09 |