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 provides Specialist services 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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