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

Lakeside Surgical Associates, PA

Organization Specialist · NPI 1487709713

Lakeside Surgical Associates, 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
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

150 Fairview Rd Ste 300
Mooresville, NC 28117-9504
Phone: (704) 664-6677
Fax: (704) 663-1009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 9600335 (NC)

Record details

NPI number1487709713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Hall — President · (704) 664-6677
NPI enumeratedJanuary 25, 2007
Last updated in NPPESJuly 6, 2010
Mailing address150 Fairview Rd, Suite 300, Mooresville, NC 28117-9504

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