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

Lake Norman Medical, PLLC

Organization Family Medicine Physician · NPI 1699300822

Lake Norman Medical, PLLC is a Family Medicine Physician in Statesville, North Carolina. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1661 Davie Ave
Statesville, NC 28677-3519
Phone: (704) 495-2470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1699300822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Adams — Authorized Official · (704) 495-2470
NPI enumeratedMarch 9, 2020
Last updated in NPPESOctober 26, 2021
Certification dateOctober 26, 2021
Mailing address1661 Davie Ave, Statesville, NC 28677-3519

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