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NPI Code Detail

MEDICARE: LAKEMONT FAMILY MEDICINE

MEDICARE: LAKEMONT FAMILY MEDICINE
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
1207Q00000XFamily Medicine Physician

Other Identifiers

General Provider Information

NPI Number : 1427088582
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKEMONT FAMILY MEDICINE
Provider Business Mailing Address
First Line : PO BOX 601067
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-1067
Country : US
Telephone Number : 980-212-2680
Fax Number :
Provider Business Practice Location Address
First Line : 447 MCALISTER RD
Second Line :
City : LINCOLNTON
State : NC
Zip : 28092-4114
Country : US
Telephone Number : 980-212-2680
Fax Number : 704-732-3297
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : THOMAS LAYMON
Credential :
Telephone Number : 704-446-8250
Provider Enumeration Date : 07/04/2006
Last Update Date : 07/21/2022

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Directions to “LAKEMONT FAMILY MEDICINE ” Practice Location

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