Organization
LAKE NORMAN NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG DANIEL DUBOIS M.D. (PRESIDENT)
(704) 662-3077
Entity
Organization
Contact information
Practice address
139 GATEWAY BLVD, SUITE 127, MOORESVILLE, NC 28117-5540
(704) 662-3077
(704) 662-3458
Mailing address
139 GATEWAY BLVD, SUITE 127, MOORESVILLE, NC 28117-5540
(704) 662-3077
(704) 662-3458
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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