MEDICARE: LALA LASHES CHARLOTTE

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	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1457986499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LALA LASHES CHARLOTTE

Provider Business Mailing Address
First Line	:	841 BAXTER ST STE 114
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28202-2720
Country	:	US
Telephone Number	:	704-366-5274
Fax Number	:

Provider Business Practice Location Address
First Line	:	2434 SHAD CT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28208-3307
Country	:	US
Telephone Number	:	704-366-5274
Fax Number	:

Authorized Official
Title or Position	:	COSMETOLOGIST / CRANIAL PROTHESIS
Name	:	CHARRYSE Y RANKIN
Credential	:	COSMETOLOGY LICENSE
Telephone Number	:	704-366-5274

Provider Enumeration Date	:	03/10/2020
Last Update Date	:	03/10/2020

Similar Medicare Providers

1548351687 — ROBERT M LIESMAN DPM
Practice Location Address:

2115 E 7TH ST , SUITE 102
CHARLOTTE, NC
28204-3307

Practice Phone: 704-442-8433
Practice Fax: 704-817-9957

1356547616 — MS. DIANE EVANS - BLAKE SLP
Practice Location Address:

3307 CROSS WINDS RD
CHARLOTTE, NC
28227-6613

Practice Phone: 704-668-3549
Practice Fax:

1891629267 — TSA INTEGRITY GROUP LLC
Practice Location Address:

1501 WEST BLVD STE A
CHARLOTTE, NC
28208-7076

Practice Phone: 704-678-4719
Practice Fax:

1376487918 — ELISE DAWN TRABUCCO
Practice Location Address:

1430 ALLENBROOK DR
CHARLOTTE, NC
28208-1605

Practice Phone: 980-343-6004
Practice Fax:

1134528359 — JORDAN CANNON MSP CCC-SLP
Practice Location Address:

3241 NEW RENAISSANCE WAY
CHARLOTTE, NC
28208-6633

Practice Phone: 980-343-0049
Practice Fax: 980-343-0053

1245693050 — SALISBURY VAMC
Practice Location Address:

3506 W TYVOLA RD
CHARLOTTE, NC
28208-7201

Practice Phone: 704-329-1300
Practice Fax: 704-357-7764

Directions to “LALA LASHES CHARLOTTE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.