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1487920443
LAKE BREEZE ENT & ALLERGY PC
MOORESVILLE, NC
NPI
1487920443
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Entity Type
Organization
Authorized Contact
ROY SHELDON LEWIS
President
713-818-0590
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: NC 2011-01689)
Enumeration Date
2012-03-23
Last Update Date
2012-03-23
Business Address
LAKE BREEZE ENT & ALLERGY PC
149 PLANTATION RIDGE DR SUITE 190
MOORESVILLE, NC 28117-9174
Phone number: 713-818-0590
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Mailing Address
LAKE BREEZE ENT & ALLERGY PC
149 PLANTATION RIDGE DR SUITE 190
MOORESVILLE, NC 28117-9174
Phone number: 713-818-0590
Copy
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