MEDICARE: ANGELA N. LAMKIN PA-C

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	363A00000X	Physician Assistant	0001-02474	NC

General Provider Information

NPI Number	:	1205873049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA N. LAMKIN PA-C

Provider Business Mailing Address
First Line	:	12505 MORNING CREEK LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28214-1030
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12505 MORNING CREEK LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28214-1030
Country	:	US
Telephone Number	:	704-293-6386
Fax Number	:

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	06/06/2025

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