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LAKE BREEZE ENT & ALLERGY PC
NPI 1487920443
Otolaryngology in Mooresville, NC

Active since March 23, 2012
149 PLANTATION RIDGE DR, SUITE 190, MOORESVILLE, NC 28117(713) 818-0590 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Breeze Ent & Allergy Pc NPPES

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

LAKE BREEZE ENT & ALLERGY PC (NPI 1487920443) is a healthcare organization registered as an otolaryngology in Mooresville, North Carolina and active in the NPI registry since March 2012. The organization lists Roy Sheldon Lewis, President, as its authorized official.

NPPES Registry Identity

NPI1487920443
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameLAKE BREEZE ENT & ALLERGY PC
Location Address149 PLANTATION RIDGE DR, SUITE 190Mooresville, NC 28117-9174
Mailing Address149 Plantation Ridge Dr, Suite 190Mooresville, NC 28117-9174 · (713) 818-0590
Phone(713) 818-0590
Organization SubpartNo
Authorized OfficialRoy Sheldon LewisPresident · (713) 818-0590
Enumeration DateMarch 23, 2012
✔ NPI 1487920443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NC · 2011-01689
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.
149 PLANTATION RIDGE DR, Mooresville, NC 28117
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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 SINGLE SPECIALTY GROUP

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 Breeze Ent & Allergy PC's NPI number?

The NPI number for Lake Breeze Ent & Allergy PC is 1487920443. It was assigned to this organization in the NPPES registry on March 23, 2012.

Where is Lake Breeze Ent & Allergy PC located?

Lake Breeze Ent & Allergy PC is located at 149 Plantation Ridge Dr Suite 190, Mooresville, NC 28117. The listed phone number is (713) 818-0590.

What is Lake Breeze Ent & Allergy PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Breeze Ent & Allergy PC was last updated on March 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.