| NPI | 1114105533 |
|---|---|
| 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 | 2008-02-07 |
| Last Update Date | 2023-07-11 |