Organization
LAKE NORMAN EMERGENCY MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PARKER (COO)
(828) 879-8419
Entity
Organization
Contact information
Practice address
171 FAIRVIEW RD, MOORESVILLE, NC 28117-9500
(704) 660-4000
Mailing address
319 SPRINGWOOD DR NE, VALDESE, NC 28690-8710
(828) 879-8419
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
08/15/2011
Last updated
03/16/2021
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