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Organization
LAKE NORMAN INTEGRATIVE WELLNESS, LLC
Active
Organization
LAKE NORMAN INTEGRATIVE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKIBA JOSEPH GREEN DC, DNM (CLINIC DIRECTOR)
(704) 658-7350
Entity
Organization
Contact information
Practice address
21000 TORRENCE CHAPEL RD STE 101, CORNELIUS, NC 28031-6874
(704) 987-3993
(704) 987-3991
Mailing address
21000 TORRENCE CHAPEL RD STE 101, CORNELIUS, NC 28031-6874
(704) 987-3993
(704) 987-3991
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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