Individual
LACY PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4084 MESA VERDE DR, CHARLOTTE, NC 28277
(910) 548-4348
Mailing address
15105 JOHN J DELANEY DR STE D, CHARLOTTE, NC 28277-2848
(910) 548-4348
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
06/10/2024
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