Healthcare Provider Details

I. General information

NPI: 1407896913
Provider Name (Legal Business Name): IGNACIO LORENZO GALLARDO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 HENDERSONVILLE HWY
PISGAH FOREST NC
28768-9296
US

IV. Provider business mailing address

45 HENDERSONVILLE HWY
PISGAH FOREST NC
28768-8895
US

V. Phone/Fax

Practice location:
  • Phone: 828-435-8080
  • Fax: 828-435-8081
Mailing address:
  • Phone: 828-435-8080
  • Fax: 828-435-8081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberME76744
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number98112
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number98112
License Number StateSC
# 4
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME76744
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: