Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Breeze ENT & Allergy PC

Organization Otolaryngology Physician · NPI 1487920443

Lake Breeze ENT & Allergy PC is an Otolaryngology Physician in Mooresville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

149 Plantation Ridge Dr Ste 190
Mooresville, NC 28117-9174
Phone: (713) 818-0590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 2011-01689 (NC)

Record details

NPI number1487920443
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roy Lewis — President · (713) 818-0590
NPI enumeratedMarch 23, 2012
Last updated in NPPESMarch 23, 2012
Mailing address149 Plantation Ridge Dr, Suite 190, Mooresville, NC 28117-9174

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