Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lake Norman Endocrinology & Diabetes, PC

Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1114205457

Lake Norman Endocrinology & Diabetes, PC provides Endocrinology, Diabetes & Metabolism Physician services in Mooresville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

143 Joe Knox Ave Ste 100
Mooresville, NC 28117-9243 Not confirmed with CMS for 14 years — call before visiting
Phone: (704) 664-2936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 9400602 (NC)

Record details

NPI number1114205457
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Augustine Obi — Owner · (704) 664-2910
NPI enumeratedAugust 3, 2011
Last updated in NPPESSeptember 26, 2012
Mailing address143 Joe Knox Ave, Suite 100, Mooresville, NC 28117-9243

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