Healthcare Provider Details

I. General information

NPI: 1720916851
Provider Name (Legal Business Name): THOMAS LABARIAS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1432 E MAIN ST
LINCOLNTON NC
28092-3902
US

IV. Provider business mailing address

3390 NW 1ST CT APT 537
POMPANO BEACH FL
33069-2671
US

V. Phone/Fax

Practice location:
  • Phone: 754-274-0910
  • Fax:
Mailing address:
  • Phone: 754-274-0910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: