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LAKE NORMAN NEUROLOGY PA
NPI 1356399554
Psychiatry & Neurology - Neurology in Mooresville, NC

Active since May 04, 2006
124 PROFESSIONAL PARK DR, SUITE A, MOORESVILLE, NC 28117(704) 662-3077(704) 662-3458 Get Directions Write a Review

NPPES record last updated: July 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Norman Neurology Pa NPPES

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

LAKE NORMAN NEUROLOGY PA (NPI 1356399554) is a healthcare organization registered as a neurology in Mooresville, North Carolina and active in the NPI registry since May 2006. The organization lists Michele M Dufore, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1356399554
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameLAKE NORMAN NEUROLOGY PA
Location Address124 PROFESSIONAL PARK DR, SUITE AMooresville, NC 28117-5537
Mailing Address124 Professional Park Dr, Suite AMooresville, NC 28117-5537 · (704) 662-3077 · Fax (704) 662-3458
Phone(704) 662-3077
Fax(704) 662-3458
Organization SubpartNo
Authorized OfficialMichele M DuforeOffice Manager · (704) 662-3077
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 9, 2008
✔ NPI 1356399554 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.
124 PROFESSIONAL PARK DR, Mooresville, NC 28117
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Other Identifiers 2

Medicare ID-Type Unspecified2327251NC · Group Number
Medicaid89013KPNC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 6

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

DR. CRAIG DANIEL DUBOIS M.D.
Psychiatry & Neurology (Neurology)
124 PROFESSIONAL PARK DR, SUITE A
MOORESVILLE, NC 28117
Iredell County (704) 662-3077
DR. RYAN SCOTT CONRAD M.D.
Psychiatry & Neurology (Neurology)
124 PROFESSIONAL PARK DR, SUITE C
MOORESVILLE, NC 28117
Iredell County (704) 662-3077
DR. ANDREW JOSEPH BRAUNSTEIN D.O.
Psychiatry & Neurology (Neurology)
124 PROFESSIONAL PARK DR, SUITE A
MOORESVILLE, NC 28117
Iredell County (704) 662-3077
MRS. AMBER LYNN LANKFORD MPT
Physical Therapist
124 PROFESSIONAL PARK DR, STE C
MOORESVILLE, NC 28117
Iredell County (704) 658-1095
INDEPENDENT NEPHROLOGY SERVICES, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
124 PROFESSIONAL PARK DR, SUITE B
MOORESVILLE, NC 28117
Iredell County (704) 663-3534
PIEDMONT HEALTHCARE, PA
Durable Medical Equipment & Medical Supplies
124 PROFESSIONAL PARK DR, SUITE A
MOORESVILLE, NC 28117
Iredell County (704) 662-3077

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 PA's NPI number?

The NPI number for Lake Norman Neurology PA is 1356399554. It was assigned to this organization in the NPPES registry on May 4, 2006.

Where is Lake Norman Neurology PA located?

Lake Norman Neurology PA is located at 124 Professional Park Dr Suite A, Mooresville, NC 28117. The listed phone number is (704) 662-3077.

What is Lake Norman Neurology PA's specialty?

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

What insurance does Lake Norman Neurology PA accept?

Health plans from Blue Cross and Blue Shield of NC list Lake Norman Neurology PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Norman Neurology PA was last updated on July 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.