# LAKEMONT FAMILY MEDICINE

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

## Provider details

- **NPI number:** 1427088582
- **Authorized official:** THOMAS LAYMON (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (704) 446-8250

## Contact information

- **Practice address:** 447 MCALISTER RD, LINCOLNTON, NC 28092-4114
- **Practice address phone:** (980) 212-2680
- **Practice address fax:** (704) 732-3297
- **Mailing address:** PO BOX 601067, CHARLOTTE, NC 28260-1067
- **Mailing address phone:** (980) 212-2680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1427088582 | NC MEDICAID DME | NC |
| 05 | — | 1427088582 | — | NC |