Individual
LARA PRIDGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADN,RN,NC-CPHN
Contact information
Practice address
PO BOX 238, COLUMBIA, NC 27925-0238
(252) 793-1750
Mailing address
PO BOX 238, COLUMBIA, NC 27925-0238
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
247064
NC
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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