# LAKE NORMAN CHILD AND ADOLESCENT PSYCHIATRY

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

## Provider details

- **NPI number:** 1871813352
- **Authorized official:** DR. CHRISTOPHER FOX D.O. (PSYCHIATRIST)
- **Authorized official phone:** (440) 666-8136

## Contact information

- **Practice address:** 223 WILLIAMSON RD, SUITE 103, MOORESVILLE, NC 28117-8198
- **Practice address phone:** (704) 660-5686
- **Practice address fax:** (704) 696-1027
- **Mailing address:** 223 WILLIAMSON RD, SUITE 103, MOORESVILLE, NC 28117-8198
- **Mailing address phone:** (704) 660-5686
- **Mailing address fax:** (704) 696-1027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | 2010-00723 | NC | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 2010-00723 | NC | Yes |

## Other

- **Enumeration date:** 06/07/2010
- **Last updated:** 06/30/2010