Healthcare Provider Details

I. General information

NPI: 1003732959
Provider Name (Legal Business Name): LEXUS FREEMAN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 S KING ST
LAURINBURG NC
28352-3704
US

IV. Provider business mailing address

306 MCGOOGAN ST
RED SPRINGS NC
28377-1262
US

V. Phone/Fax

Practice location:
  • Phone: 910-276-3313
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number18535
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: