LAKESIDE DERMATOLOGY , PA

CORNELIUS, NC
NPI1619973054
Entity TypeOrganization
Authorized ContactNANCY J ASTLE
President/Physician
704-892-4878
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: NC  9400198)
Enumeration Date2005-06-21
Last Update Date2011-03-23
Business Address
LAKESIDE DERMATOLOGY , PA
19900 W CATAWBA AVE SUITE B
CORNELIUS, NC 28031-4032
Phone number: 704-892-4878
Mailing Address
LAKESIDE DERMATOLOGY , PA
19900 W CATAWBA AVE STE B
CORNELIUS, NC 28031-4032
Phone number: 704-892-4878
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