Organization
LEXINGTON ORTHOPEDIC CLINIC PA
Active
Organization
LEXINGTON ORTHOPEDIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL E BOLSTAD MD (PRESIDENT)
(336) 249-2978
Entity
Organization
Contact information
Practice address
510 EMERGENCY DR, LEXINGTON, NC 27292-6804
(336) 249-2978
(336) 249-6748
Mailing address
510 EMERGENCY DR, LEXINGTON, NC 27292-6804
(336) 249-2978
(336) 249-6748
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0182010001
PALMETTO GROUP NUMBER
NC
05
—
8902013
—
NC
Enumeration date
06/22/2005
Last updated
08/22/2020
Update your record
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