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Organization
ALLERGY & ASTHMA CENTER OF LAKE NORMAN, PC
Active
Organization
ALLERGY & ASTHMA CENTER OF LAKE NORMAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA J. COLLURA D.O. (PRESIDENT)
(704) 655-1466
Entity
Organization
Contact information
Practice address
15815 BROOKWAY DR, HUNTERSVILLE, NC 28078-3221
(704) 655-1466
(704) 655-1467
Mailing address
15815 BROOKWAY DR, HUNTERSVILLE, NC 28078-3221
(704) 655-1466
(704) 655-1467
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007286873
AETNA
NC
01
—
142E4
BCBS
NC
05
—
5903856
—
NC
01
—
8966739
CIGNA
NC
Enumeration date
05/22/2006
Last updated
12/16/2014
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