LAKE NORMAN PLASTIC SURGERY

MOORESVILLE, NC
NPI1710916960
Entity TypeOrganization
Authorized ContactADAM G RAVIN
Owner
704-658-9921
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2006-07-01
Last Update Date2009-03-05
Business Address
LAKE NORMAN PLASTIC SURGERY
LAKE NORMAN MEDICAL & PROFESSIONAL PLAZA, SUITE 106 146 MEDICAL PARK RD.
MOORESVILLE, NC 28117
Phone number: 704-658-9921
Mailing Address
LAKE NORMAN PLASTIC SURGERY
PO BOX 15133
DURHAM, NC 27704-0133
Phone number: 919-477-5152
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