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LAKE NORMAN DERMATOLOGY, PA
NPI 1184754848
Specialist in Mooresville, NC

Active since March 06, 2007
140 LEANING OAK DRIVE, STE 101, MOORESVILLE, NC 28117(704) 658-9730(704) 658-1457 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2021, Sep 21, 2020, Sep 17, 2019 (3 updates tracked since 2019).

About Lake Norman Dermatology, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE NORMAN DERMATOLOGY, PA (NPI 1184754848) is a healthcare organization registered as a specialist in Mooresville, North Carolina and active in the NPI registry since March 2007. The organization lists Joel H Sugarman, President, as its authorized official.

NPPES Registry Identity

NPI1184754848
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAKE NORMAN DERMATOLOGY, PA
Location Address140 LEANING OAK DRIVE, STE 101Mooresville, NC 28117-6991
Mailing Address140 Leaning Oak Drive, Ste 101Mooresville, NC 28117-6991 · (704) 658-9730 · Fax (704) 658-1457
Phone(704) 658-9730
Fax(704) 658-1457
Organization SubpartNo
Authorized OfficialJoel H SugarmanPresident · (704) 658-9730
Enumeration DateMarch 6, 2007
Last NPPES UpdateMay 25, 20213 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1184754848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 200500264
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedDermatologyTaxonomy 207N00000X · License 200500264
140 LEANING OAK DRIVE, Mooresville, NC 28117
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Other Identifiers 2

Other14002NC · Bcbs Id Number
Other021AUBc/bs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON B HANLEY PA-C
Physician Assistant
140 LEANING OAK DRIVE, SUITE 101
MOORESVILLE, NC 28117
Iredell County (704) 658-9730
DR. JOEL H SUGARMAN MD
Dermatology
140 LEANING OAK DRIVE, STE 101
MOORESVILLE, NC 28117
Iredell County (704) 658-9730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Norman Dermatology, PA's NPI number?

The NPI number for Lake Norman Dermatology, PA is 1184754848. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Lake Norman Dermatology, PA located?

Lake Norman Dermatology, PA is located at 140 Leaning Oak Drive Ste 101, Mooresville, NC 28117. The listed phone number is (704) 658-9730.

What is Lake Norman Dermatology, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lake Norman Dermatology, PA was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.