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

Lake Norman Hematology and Oncology Specialists PA

Organization Hematology & Oncology Physician · NPI 1104854587

Lake Norman Hematology and Oncology Specialists PA is a Hematology & Oncology Physician in Mooresville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
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

170 Medical Park Rd Ste 101
Mooresville, NC 28117-8540
Phone: (704) 799-3946
Fax: (704) 799-3956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X (NC)

Record details

NPI number1104854587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Krumdieck — President · (704) 799-3946
NPI enumeratedJune 28, 2006
Last updated in NPPESApril 11, 2017
Mailing address170 Medical Park Rd, Suite 101, Mooresville, NC 28117-8540

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