Organization
LAKE NORMAN HEALTH AND WELLNESS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKIBA JOSEPH GREEN D.C. (PRESIDENT)
(704) 987-3993
Entity
Organization
Contact information
Practice address
18047 W CATAWBA AVE, SUITE E, CORNELIUS, NC 28031-5664
(704) 987-3993
(704) 987-3991
Mailing address
18047 W CATAWBA AVE, SUITE E, CORNELIUS, NC 28031-5664
(704) 987-3993
(704) 987-3991
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3241
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903436
—
NC
Enumeration date
10/08/2006
Last updated
07/08/2011
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