Organization
LAKE NORMAN OBGYN LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA B MELVIN MD (SR ADMINISTRATIVE PARTNER)
(704) 663-1282
Entity
Organization
Contact information
Practice address
131 MEDICAL PARK RD, STE 102, MOORESVILLE, NC 28117
(704) 663-1282
(704) 663-1413
Mailing address
131 MEDICAL PARK RD, STE 102, MOORESVILLE, NC 28117
(704) 663-1282
(704) 663-1413
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/23/2006
Last updated
06/14/2010
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