Organization
LINCOLN PEDIATRICS CLINIC,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINA S MOFRAD (TREASURER)
(704) 735-1441
Entity
Organization
Contact information
Practice address
113 DOCTORS PARK, LINCOLNTON, NC 28092-4407
(704) 735-1441
Mailing address
113 DOCTORS PARK, LINCOLNTON, NC 28092-4407
(704) 735-1441
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902019
—
NC
Enumeration date
04/30/2006
Last updated
08/22/2020
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