Individual
SHARA LISETTE LACCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 HIDDEN VALLEY DR, CHAPEL HILL, NC 27516-8949
(912) 882-9293
Mailing address
488 BEACON RIDGE BLVD, CHAPEL HILL, NC 27516-9820
(912) 882-9293
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
5013447
NC
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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