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

Lake Norman Ears Nose and Throat PA

Organization Otolaryngology Physician · NPI 1306870902

Lake Norman Ears Nose and Throat PA is an Otolaryngology Physician in Mooresville, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
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 Gateway Blvd
Mooresville, NC 28117
Phone: (704) 664-9638
Fax: (704) 664-1859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1306870902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Herbert Wettreich — Md · (704) 664-9368
NPI enumeratedJuly 10, 2006
Last updated in NPPESDecember 9, 2009
Mailing address140 Gateway Blvd, Mooresville, NC 28117

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