Organization
LAKE NORMAN HEMATOLOGY ONCOLOGY SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD KRUMDIECK MD (PRESIDENT)
(704) 799-3946
Entity
Organization
Contact information
Practice address
170 MEDICAL PARK RD, SUITE 101, MOORESVILLE, NC 28117-8540
(704) 799-3946
(704) 799-3956
Mailing address
170 MEDICAL PARK RD, SUITE 101, MOORESVILLE, NC 28117-8540
(704) 799-3946
(704) 799-3956
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9701019
NC
Other
Enumeration date
07/12/2006
Last updated
01/23/2008
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