Individual
DR. LANNA SOOK KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6060 PIEDMONT ROW DR S FL 8, CHARLOTTE, NC 28287
(704) 489-3094
Mailing address
5960 FAIRVIEW RD STE 500, CHARLOTTE, NC 28210-3113
(704) 495-6334
(704) 817-7219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008-00983
NC
207R00000X
Internal Medicine Physician
MD431185
PA
207R00000X
Internal Medicine Physician
MT184120
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992834246
—
NC
01
—
2008-00983
STATE LICENSE
NC
05
—
5910180
—
NC
01
—
N83008
SC MEDICAID
SC
Enumeration date
03/05/2007
Last updated
01/25/2023
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