Healthcare Provider Details

I. General information

NPI: 1851502637
Provider Name (Legal Business Name): CARRIE LYNNE LACHAPELLE LMW, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 02/21/2023
Certification Date: 02/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 GARLINGTON RD STE D12
GREENVILLE SC
29615-4611
US

IV. Provider business mailing address

319 GARLINGTON RD STE D12
GREENVILLE SC
29615-4611
US

V. Phone/Fax

Practice location:
  • Phone: 864-907-6363
  • Fax: 864-206-5030
Mailing address:
  • Phone: 864-907-6363
  • Fax: 864-206-5030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLMW-0034
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: