LAKE NORMAN NEUROLOGY
NPI 1235431818
Psychiatry & Neurology - Neurology in Mooresville, NC

Active since December 02, 2010
139 GATEWAY BLVD, SUITE 127, MOORESVILLE, NC 28117(704) 662-3077(704) 662-3458 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Psychiatry & Neurology
  • Neurology

About LAKE NORMAN NEUROLOGY

This page provides the complete NPI Profile along with additional information for Lake Norman Neurology, a provider established in Mooresville, North Carolina operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1235431818 assigned on December 2010. The practitioner's primary taxonomy code is 2084N0400X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Lake Norman Neurology operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Craig Daniel Dubois M.d. (President)

NPI
1235431818 Verify this NPI
Provider Name
LAKE NORMAN NEUROLOGY
Entity Type
Organization
Location Address
139 GATEWAY BLVD SUITE 127 MOORESVILLE, NC 28117
Location Phone
(704) 662-3077
Location Fax
(704) 662-3458
Mailing Address
139 GATEWAY BLVD SUITE 127 MOORESVILLE, NC 28117
Mailing Phone
(704) 662-3077
Mailing Fax
(704) 662-3458
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-02-2010
Last Update Date
12-02-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CRAIG DANIEL DUBOIS M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(704) 662-3077

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
139 GATEWAY BLVD, SUITE 127
MOORESVILLE, NC 28117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235431818, enumerated as an "organization" on December 02, 2010.

The provider is located at 139 GATEWAY BLVD SUITE 127 MOORESVILLE, NC 28117 and the phone number is (704) 662-3077.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.