Organization
LAKEMONT FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LAYMON (SENIOR VICE PRESIDENT)
(704) 446-8250
Entity
Organization
Contact information
Practice address
447 MCALISTER RD, LINCOLNTON, NC 28092-4114
(980) 212-2680
(704) 732-3297
Mailing address
PO BOX 601067, CHARLOTTE, NC 28260-1067
(980) 212-2680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427088582
NC MEDICAID DME
NC
05
—
1427088582
—
NC
Enumeration date
07/04/2006
Last updated
07/21/2022
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