Organization
LAKE NORMAN SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS WEVER MD (OWNER)
(704) 664-5100
Entity
Organization
Contact information
Practice address
131 MEDICAL PARK RD, SUITE 204, MOORESVILLE, NC 28117-8522
(704) 664-5100
(704) 664-5328
Mailing address
131 MEDICAL PARK RD, SUITE 204, MOORESVILLE, NC 28117-8522
(704) 664-5100
(704) 664-5328
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G38464
NC
Other
Enumeration date
01/14/2007
Last updated
08/22/2020
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