NPI 1104854587

Lake Norman Hematology and Oncology Specialists PA

Organisation Hematology & Oncology Physician Mooresville, NC

Practice location

Address: 170 Medical Park Rd Suite 101, Mooresville, NC 28117-8540
Phone: (704) 799-3946
Fax: (704) 799-3956

Authorised official

Name: Richard Krumdieck
Title: President
Phone: (704) 799-3946

Registered specialties

Hematology & Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RH0003X

Other Internal Medicine providers in North Carolina →

Registry record

NPI: 1104854587
Entity type: Organization
NPI issued: 28 Jun 2006
Record last updated: 11 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.