MEDICARE: DR. LARACHEL LASHAY SUTTON BURFORD DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	5719	NC

General Provider Information

NPI Number	:	1164370656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARACHEL LASHAY SUTTON BURFORD DC

Provider Business Mailing Address
First Line	:	2501 BEATTIES FORD RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-4317
Country	:	US
Telephone Number	:	704-393-8447
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 BEATTIES FORD RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-4317
Country	:	US
Telephone Number	:	704-393-8447
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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