MEDICARE: TOWANDA LAGRONE

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1811828924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOWANDA LAGRONE

Provider Business Mailing Address
First Line	:	4000 SANCAR WAY STE 410
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-2891
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1641 MATTHEWS TOWNSHIP PKWY
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28105-5927
Country	:	US
Telephone Number	:	980-374-3984
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ TOWANDA LAGRONE ” Practice Location

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