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: August 16, 2026.

About Lake Norman Neurology NPPES

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

LAKE NORMAN NEUROLOGY (NPI 1235431818) is a healthcare organization registered as a neurology in Mooresville, North Carolina and active in the NPI registry since December 2010. The organization lists Craig Daniel Dubois, President, as its authorized official.

NPPES Registry Identity

NPI1235431818
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameLAKE NORMAN NEUROLOGY
Location Address139 GATEWAY BLVD, SUITE 127Mooresville, NC 28117-5540
Mailing Address139 Gateway Blvd, Suite 127Mooresville, NC 28117-5540 · (704) 662-3077 · Fax (704) 662-3458
Fax(704) 662-3458
Organization SubpartNo
Authorized OfficialCraig Daniel DuboisPresident · (704) 662-3077
Enumeration DateDecember 2, 2010
NPI 1235431818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
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.
139 GATEWAY BLVD, Mooresville, NC 28117

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

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

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

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 Neurology's NPI number?

The NPI number for Lake Norman Neurology is 1235431818. It was assigned to this organization in the NPPES registry on December 2, 2010.

Where is Lake Norman Neurology located?

Lake Norman Neurology is located at 139 Gateway Blvd Suite 127, Mooresville, NC 28117. The listed phone number is (704) 662-3077.

What is Lake Norman Neurology's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Lake Norman Neurology was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.