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Organization

LAKESHORE WOMEN'S SPECIALIST, PC

Active
Parent organization
UWH OF NORTH CAROLINA. LLP
Organization subpart
Yes

Provider details

NPI number
Legal business name
UWH OF NORTH CAROLINA. LLP
Authorized official
SHELIA M BALDWIN (DIRECTOR)
(919) 334-0150
Entity
Organization

Contact information

Practice address
235 MEDICAL PARK RD, SUITE 201, MOORESVILLE, NC 28117-8545
(704) 658-9211
(704) 658-9224
Mailing address
4020 WESTCHASE BLVD, SUITE 475, RALEIGH, NC 27607-3938
(919) 334-0150

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary

Other

Enumeration date
01/31/2017
Last updated
01/31/2017
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