# IREDELL PHYSICIAN NETWORK LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IREDELL PHYSICIAN NETWORK LLC
- **Other names:** Lakeview OBGYN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396070942
- **Legal business name:** IREDELL PHYSICIAN NETWORK LLC
- **Authorized official:** MS. ANNA PURCELL (DIRECTOR, MANAGED CARE)
- **Authorized official phone:** (704) 878-4569

## Contact information

- **Practice address:** 136 CORPORATE PARK DR, SUITE 3H, MOORESVILLE, NC 28117-6959
- **Practice address phone:** (704) 660-9780
- **Mailing address:** PO BOX 25867, WINSTON SALEM, NC 27114-5867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2009
- **Last updated:** 05/12/2010