Lakeshore Pediatric Center, P.a.
Pediatrics
Lakeshore Pediatric Center, P.a. is a Denver, North Carolina based Pediatric center with medical specialization in
General Pediatrics.
It is located at
275 N Hwy 16, Suite: 103 Lakeshore Pediatric Center., Denver, North Carolina - 28037. They can be contacted on phone at
704-489-8401 and fax number 704-489-8404.
NPI number (Unique professional ID) for Lakeshore Pediatric Center, P.a. is
1366650707 which was assigned by NPPES on 18 May, 2007 and it was last updated on 04 Feb, 2011.
Lakeshore Pediatric Center, P.a. license number is
2000-00103 for Pediatrics (208000000X) in North Carolina.
Lakeshore Pediatric Center, P.a. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Lakeshore Pediatric Center, P.a. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Lakeshore Pediatric Center, P.a. |
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Business Address:
Lakeshore Pediatric Center, P.a. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 275 N Hwy 16, Suite: 103 Lakeshore Pediatric Center.
Denver, NC, 28037
United States |
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| Phone Number : | 704-489-8401 |
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| Fax Number : | 704-489-8404 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366650707 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 18 May, 2007 |
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| Last Updated On : | 04 Feb, 2011 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Wissam Nadra |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 704-489-8401 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lakeshore Pediatric Center, P.a. are as mentioned. Primary taxonomy code for Lakeshore Pediatric Center, P.a. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2000-00103 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Lakeshore Pediatric Center, P.a. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 5950140 | MEDICAID | NC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 275 N Hwy 16, Suite: 103 Lakeshore Pediatric Center.
Denver, NC, 28037
United States |
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| Phone Number : | 704-489-8401 |
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| Fax Number : | 704-489-8404 |
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Business Location:
Patients can refer following map for directions to
Lakeshore Pediatric Center, P.a. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.