MEDICARE: L CARTER ENTERPRISES LLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1225974181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L CARTER ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	1101 SARATOGA BLVD
Second Line	:
City	:	INDIAN TRAIL
State	:	NC
Zip	:	28079-5757
Country	:	US
Telephone Number	:	704-941-8659
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 SARATOGA BLVD
Second Line	:
City	:	INDIAN TRAIL
State	:	NC
Zip	:	28079-5757
Country	:	US
Telephone Number	:	704-941-8659
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LASHAWN CARTER
Credential	:	OWNER
Telephone Number	:	704-941-8659

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

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Directions to “L CARTER ENTERPRISES LLC ” Practice Location

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