NPI 1114205457

Lake Norman Endocrinology & Diabetes, PC

Organisation Endocrinology, Diabetes & Metabolism Physician Mooresville, NC

Practice location

Address: 143 Joe Knox Ave Suite 100, Mooresville, NC 28117-9243
Phone: (704) 664-2936

Authorised official

Name: Augustine U Obi
Title: Owner
Phone: (704) 664-2910

Registered specialties

Endocrinology, Diabetes & Metabolism Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RE0101X Licence 9400602 (NC)

Other Internal Medicine providers in North Carolina →

Registry record

NPI: 1114205457
Entity type: Organization
NPI issued: 3 Aug 2011
Record last updated: 26 Sep 2012

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.