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LAKE NORMAN PAIN AND WEIGHT MANAGEMENT, LLC
NPI 1720395783
Nurse Practitioner - Adult Health in Mooresville, NC

Active since September 10, 2010
378 WILLIAMSON RD STE 204, MOORESVILLE, NC 28117(704) 662-0009(704) 360-2335 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Norman Pain And Weight Management, Llc NPPES

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

LAKE NORMAN PAIN AND WEIGHT MANAGEMENT, LLC (NPI 1720395783) is a healthcare organization registered as an adult health in Mooresville, North Carolina and active in the NPI registry since September 2010. The organization lists Chrissy Gayle Fohr, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1720395783
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameLAKE NORMAN PAIN AND WEIGHT MANAGEMENT, LLC
Location Address378 WILLIAMSON RD STE 204Mooresville, NC 28117-5917
Mailing Address378 Williamson Rd Ste 204Mooresville, NC 28117-5917 · (704) 662-0009 · Fax (704) 360-2335
Phone(704) 662-0009
Fax(704) 360-2335
Organization SubpartNo
Authorized OfficialChrissy Gayle FohrNurse Practitioner · (336) 414-1164
Enumeration DateSeptember 10, 2010
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1720395783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NC · 5004119
378 WILLIAMSON RD STE 204, Mooresville, NC 28117
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Other Identifiers 1

Medicaid7004603NC

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 4

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

MRS. CHRISSY GAYLE FOHR NP-C
Nurse Practitioner (Adult Health)
378 WILLIAMSON RD STE 204
MOORESVILLE, NC 28117
Iredell County (704) 662-0009
IVY ADVANCED PRACTICE HEALTH, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
378 WILLIAMSON RD STE 204
MOORESVILLE, NC 28117
Iredell County (704) 978-8334
DANIEL LEE SMITH
Nurse Practitioner (Psychiatric/Mental Health)
378 WILLIAMSON RD STE 204
MOORESVILLE, NC 28117
Iredell County (704) 978-8334
MRS. IVY GERALYN DE LEON PMHNP-BC, FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
378 WILLIAMSON RD STE 204
MOORESVILLE, NC 28117
Iredell County (704) 978-8334

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 Pain And Weight Management, LLC's NPI number?

The NPI number for Lake Norman Pain And Weight Management, LLC is 1720395783. It was assigned to this organization in the NPPES registry on September 10, 2010.

Where is Lake Norman Pain And Weight Management, LLC located?

Lake Norman Pain And Weight Management, LLC is located at 378 Williamson Rd Ste 204, Mooresville, NC 28117. The listed phone number is (704) 662-0009.

What is Lake Norman Pain And Weight Management, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Lake Norman Pain And Weight Management, LLC was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.