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 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
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 Not confirmed with CMS for 16 years — call before visiting
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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