LAKE NORMAN EARS NOSE AND THROAT PA
NPI 1306870902
Otolaryngology in Mooresville, NC

Q: What is Lake Norman Ears Nose And Throat PA's NPI number?

The NPI number for Lake Norman Ears Nose And Throat PA is 1306870902. It was assigned to this organization in the NPPES registry on July 10, 2006.

Q: What is Lake Norman Ears Nose And Throat PA's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since July 10, 2006

140 GATEWAY BLVD, MOORESVILLE, NC 28117(704) 664-9638(704) 664-1859 Get Directions Write a Review

NPPES record last updated: December 9, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lake Norman Ears Nose And Throat Pa NPPES

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

LAKE NORMAN EARS NOSE AND THROAT PA (NPI 1306870902) is a healthcare organization registered as an otolaryngology in Mooresville, North Carolina and active in the NPI registry since July 2006. The organization lists Herbert Lee Wettreich, Md, as its authorized official.

NPPES Registry Identity

NPI1306870902

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameLAKE NORMAN EARS NOSE AND THROAT PA

Location Address140 GATEWAY BLVDMooresville, NC 28117

Mailing Address140 Gateway BlvdMooresville, NC 28117 · (704) 664-9638 · Fax (704) 664-1859

Phone(704) 664-9638

Fax(704) 664-1859

Organization SubpartNo

Authorized OfficialHerbert Lee WettreichMd · (704) 664-9368

Enumeration DateJuly 10, 2006

Last NPPES UpdateDecember 9, 2009

✔ NPI 1306870902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

140 GATEWAY BLVD, Mooresville, NC 28117

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Other Identifiers 5

Medicaid8986676NC

Medicaid5912716NC

Medicare PIN2342809NC

Other1781857NC · United Healthcare

Other0270KNC · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

DR. DEL HAWK AUD

Audiologist