| NPI | 1356394308 |
|---|---|
| Doing Business As | NOVANT HEALTH LAKESIDE FAMILY PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | LEEA JEANINE WALTON Rcs Manager 704-316-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-07-11 |