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NPI Code Detail

MEDICARE: DR. LUCAS PERRY BRASWELL

MEDICARE: DR. LUCAS PERRY BRASWELL
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
1207L00000XAnesthesiology Physician157732NC

General Provider Information

NPI Number : 1255262176
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUCAS PERRY BRASWELL
Provider Business Mailing Address
First Line : 1000 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5812
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5812
Country : US
Telephone Number : 704-355-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ DR. LUCAS PERRY BRASWELL ” Practice Location

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