MEDICARE: LISETTE AKERS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2010-01638	NC

General Provider Information

NPI Number	:	1972714988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISETTE AKERS MD

Provider Business Mailing Address
First Line	:	1510 ORCHARD LAKE DR STE A
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28270-1567
Country	:	US
Telephone Number	:	704-575-6964
Fax Number	:	704-930-0663

Provider Business Practice Location Address
First Line	:	1510 ORCHARD LAKE DR STE A
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28270-1567
Country	:	US
Telephone Number	:	704-575-6964
Fax Number	:	704-930-0663

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	03/11/2026

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