DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LARISSA SHEREE ADDISON

MEDICARE: LARISSA SHEREE ADDISON
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
1367A00000XAdvanced Practice Midwife314715NC
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1588551097
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARISSA SHEREE ADDISON
Provider Business Mailing Address
First Line : 5221 PARAMOUNT PKWY STE 220
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-5490
Country : US
Telephone Number : 984-215-4111
Fax Number :
Provider Business Practice Location Address
First Line : 4901 DAWN DR STE 3200
Second Line :
City : LUMBERTON
State : NC
Zip : 28360-8288
Country : US
Telephone Number : 910-735-8040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2025
Last Update Date : 01/05/2026

Similar Medicare Providers

1376123208 — TRELLANIE WILLETTA JONES
Practice Location Address:
4901 DAWN DR STE 3200
LUMBERTON, NC
28360-8288
Practice Phone: 910-735-8040
Practice Fax: 910-735-8045
1386638260 — MR. WILLIAM TROY TURLINGTON IV M.D.
Practice Location Address:
4901 DAWN DR STE 3200
LUMBERTON, NC
28360-8288
Practice Phone: 910-735-8040
Practice Fax: 910-735-8045
1568458495 — DEBRA BAKER BEASLEY FNP
Practice Location Address:
4901 DAWN DR STE 3200
LUMBERTON, NC
28360-8288
Practice Phone: 910-735-8040
Practice Fax:
1689664336 — DONALD RANDOLPH MCKINLEY MD
Practice Location Address:
4901 DAWN DR STE 3200
LUMBERTON, NC
28360-8288
Practice Phone: 910-735-8040
Practice Fax: 910-608-3079
1558334086 — CONSTANCE MARIE MULROY MD
Practice Location Address:
4901 DAWN DR STE 3200
LUMBERTON, NC
28360-8288
Practice Phone: 910-735-8040
Practice Fax:
1427161579 — DR. TAWANDA BOWDEN WILLIAMS M.D.
Practice Location Address:
4901 DAWN DR STE 3200
LUMBERTON, NC
28360-8288
Practice Phone: 910-735-8040
Practice Fax:

Directions to “ LARISSA SHEREE ADDISON ” 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.