Provider Demographics
NPI:1750321048
Name:LEFKOWITZ, DAVID III (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:LEFKOWITZ
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 E 7TH STREET SUITE 100
Mailing Address - Street 2:CAROLINA ASTHMA AND ALLERGY CENTER PA
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-4319
Mailing Address - Country:US
Mailing Address - Phone:704-372-7900
Mailing Address - Fax:704-376-2216
Practice Address - Street 1:2630 E 7TH ST SUITE 100
Practice Address - Street 2:CAROLINA ASTHMA AND ALLERGY CENTER PA
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-4319
Practice Address - Country:US
Practice Address - Phone:704-372-7900
Practice Address - Fax:704-376-2216
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0018118207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8951591Medicaid
SC137756Medicaid
NC8951591Medicaid
NC2325437Medicare PIN
SCC851045215Medicare PIN