Organization
LKN WEIGHT LOSS AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON SCHLICHER NP (FNP)
(704) 964-6250
Entity
Organization
Contact information
Practice address
20808 N MAIN ST STE 104, CORNELIUS, NC 28031-8496
(704) 964-6250
(704) 610-2500
Mailing address
20808 N MAIN ST STE 104, CORNELIUS, NC 28031-8496
(704) 964-6250
(704) 610-2500
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073077293
—
NC
Enumeration date
12/10/2020
Last updated
05/09/2023
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