Healthcare Provider Details

I. General information

NPI: 1659610848
Provider Name (Legal Business Name): JULIANNE LALIK PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIANNE CARRON

II. Dates (important events)

Enumeration Date: 02/07/2013
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 CLEVELAND ST
DURHAM NC
27701-3334
US

IV. Provider business mailing address

433 TEAGUE ST
WAKE FOREST NC
27587-9842
US

V. Phone/Fax

Practice location:
  • Phone: 919-560-2000
  • Fax:
Mailing address:
  • Phone: 248-496-6754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP21846
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: