Organization
LAKEVIEW OBSTETRICS & GYNECOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE C KLETT MD (PRESIDENT)
(704) 732-3550
Entity
Organization
Contact information
Practice address
644 CLARK DR, LINCOLNTON, NC 28092-3714
(704) 732-3550
Mailing address
644 CLARK DR, LINCOLNTON, NC 28092-3714
(704) 732-3550
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902900
—
NC
Enumeration date
03/06/2007
Last updated
08/22/2020
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