GABRIEL LACEWELL

Driver

Active Individual
NPI: 1356809776

Practice Address

223 RANDOLPH AVE
Fayetteville, NC 28311

Phone: (910) 527-2481

Specialties

Specialty Code Primary License
Driver 172A00000X Yes 26079338 (NC)

Frequently Asked Questions

NPI 1356809776 is the National Provider Identifier for GABRIEL LACEWELL, a Driver provider located in Fayetteville, NC. This NPI was enumerated on March 5, 2019.
GABRIEL LACEWELL practices at 223 RANDOLPH AVE, Fayetteville, NC 28311.

Quick Facts

NPI
1356809776
Type
Individual
Enumerated
Mar 5, 2019
Last Updated
Mar 5, 2019

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