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

Lake Norman Dermatology, PA

Organization Specialist · NPI 1184754848

Lake Norman Dermatology, PA is a Specialist in Mooresville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

140 Leaning Oak Dr Ste 101
Mooresville, NC 28117-6991
Phone: (704) 658-9730
Fax: (704) 658-1457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 200500264 (NC)
Dermatology Physician Taxonomy 207N00000X · Licence 200500264

Record details

NPI number1184754848
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Sugarman — President · (704) 658-9730
NPI enumeratedMarch 6, 2007
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021
Mailing address140 Leaning Oak Drive, Ste 101, Mooresville, NC 28117-6991

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