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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
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