Individual
LEACY LADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
4301 LAKE BOONE TRL STE 210, RALEIGH, NC 27607-7507
(919) 854-7311
Mailing address
4301 LAKE BOONE TRL STE 210, RALEIGH, NC 27607-7507
(919) 854-7311
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6590
NC
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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