Provider Demographics
NPI:1952826323
Name:LMS MEDICAL SERVICES PLLC
Entity Type:Organization
Organization Name:LMS MEDICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLTON
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENSBY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-912-1725
Mailing Address - Street 1:416 MCCULLOUGH DR STE 205
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-4392
Mailing Address - Country:US
Mailing Address - Phone:704-912-1725
Mailing Address - Fax:704-912-1744
Practice Address - Street 1:416 MCCULLOUGH DR STE 205
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-4392
Practice Address - Country:US
Practice Address - Phone:704-912-1725
Practice Address - Fax:704-912-1744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-07
Last Update Date:2017-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29362261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care