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1487709713
LAKESIDE SURGICAL ASSOCIATES, PA
MOORESVILLE, NC
NPI
1487709713
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Entity Type
Organization
Authorized Contact
GREGORY B HALL
President
704-664-6677
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NC 9600335)
Enumeration Date
2007-01-25
Last Update Date
2010-07-06
Business Address
LAKESIDE SURGICAL ASSOCIATES, PA
150 FAIRVIEW RD SUITE 300
MOORESVILLE, NC 28117-9504
Phone number: 704-664-6677
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Mailing Address
LAKESIDE SURGICAL ASSOCIATES, PA
150 FAIRVIEW RD SUITE 300
MOORESVILLE, NC 28117-9504
Phone number: 704-664-6677
Copy
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