Healthcare Provider Details

I. General information

NPI: 1811954258
Provider Name (Legal Business Name): LYNDA MADELEINE LACHANCE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 E DIXON BLVD
SHELBY NC
28152-6948
US

IV. Provider business mailing address

200 E 2ND AVE
GASTONIA NC
28052-4358
US

V. Phone/Fax

Practice location:
  • Phone: 704-480-9344
  • Fax: 704-482-8494
Mailing address:
  • Phone: 704-730-7003
  • Fax: 704-865-4614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9601369
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: