# SOUTH LAKE WOMEN'S HEALTHCARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417404401
- **Authorized official:** LINDSEY B MASHBURN MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (704) 896-9912

## Contact information

- **Practice address:** 19453 W CATAWBA AVE, SUITE A, CORNELIUS, NC 28031-4021
- **Practice address phone:** (704) 896-9912
- **Practice address fax:** (704) 896-9913
- **Mailing address:** 19453 W CATAWBA AVE, SUITE A, CORNELIUS, NC 28031-4021
- **Mailing address phone:** (704) 896-9912
- **Mailing address fax:** (704) 896-9913

## Taxonomy

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

## Other

- **Enumeration date:** 09/07/2016
- **Last updated:** 02/09/2017