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NPI Code Detail

MEDICARE: LEZLIE STEGALL LMBT

MEDICARE: LEZLIE STEGALL LMBT
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
1225700000XMassage Therapist23102NC

General Provider Information

NPI Number : 1598613606
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEZLIE STEGALL LMBT
Provider Business Mailing Address
First Line : 806 STAMPER RD STE 201
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28303-4100
Country : US
Telephone Number : 910-818-2513
Fax Number :
Provider Business Practice Location Address
First Line : 806 STAMPER RD STE 201
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28303-4100
Country : US
Telephone Number : 910-818-2513
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ LEZLIE STEGALL LMBT” Practice Location

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