Whalio Doctors

NPI 1336850940

Lacechave Smith

Practitioner Transportation Broker Winston Salem, NC

Practice location

Address
4207 Garden St, Winston Salem, NC 27105-3239
Phone
(704) 756-0160

Registered specialties (3)

Transportation Broker Primary
Transportation Services Taxonomy 347E00000X Licence 31632496 (NC)
Driver
Other Service Providers Taxonomy 172A00000X Licence 31632495 (NC)
Taxi
Transportation Services Taxonomy 344600000X Licence 31632495 (NC)

Registry record

NPI
1336850940
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Dec 2022
Record last updated
6 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.