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    • Lakeside Cosmetic Surgery And Dermatology Center, Pa

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    NPI Provider: 1619973054
    Contact Name: Astle J Nancy
    Position: President/Physician
    Phone: (704) 892-4878

    Lakeside Cosmetic Surgery And Dermatology Center, Pa Information:

    Lakeside Cosmetic Surgery And Dermatology Center, Pa organization have npi 1619973054, taxonomy code is 207N00000X with license number is 9400198 in . This Business address located in 19900 W Catawba Ave, Cornelius, NC 28031 North Carolina. Get directions of Lakeside Cosmetic Surgery And Dermatology Center, Pa.

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    Practice Location
    Address: 19900 W Catawba Ave, Cornelius, NC 28031
    Phone: (704) 892-4878

    Business Location

    Address: 19900 W Catawba Ave, Cornelius, NC 28031

    Phone: (704) 892-4878

    Fax: (704) 892-7453

    Taxonomy

    Taxonomy Code: 207N00000X

    License Number: 9400198

    License Number of State: NC

    Primary Taxonomy Switch: Y

    Enumeration Date: 6/21/2005

    Map for Lakeside Cosmetic Surgery And Dermatology Center, Pa

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