OrganizationActive
Lake Norman Bariatrics
NPI 1124621198 · Clinic Pharmacy · Mooresville, NC
Provider details
- NPI number
- 1124621198
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Timothy Heider, Surgeon(704) 402-2506
Specialties & taxonomies
Suppliers
Practice location
108 Alexander Bank Dr
Suite 200
Mooresville, NC 28117
Phone: (704) 660-4584
Approximate (ZIP-level) locationGet directions
Mailing address
108 Alexander Bank Dr
Mooresville, NC 28117
Registry dates
- Enumerated
- 2020-11-20
- Last updated
- 2020-11-20
- Certified
- 2020-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.