NPI 1861002396

Lacedric Crawford

Practitioner Chore Provider Northport, AL

Practice location

Address: 13055 Garden Creek Lane, Northport, AL 35473
Phone: (205) 292-4538

Registered specialties

Chore Provider Primary

Nursing Service Related Providers Taxonomy 372500000X Licence RES888018 (AL)

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Registry record

NPI: 1861002396
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2020
Record last updated: 10 Aug 2020

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.