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NPI Code Detail

MEDICARE: LADYSHA D HARRELL

MEDICARE: LADYSHA D HARRELL
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
1374J00000XDoulaNC

General Provider Information

NPI Number : 1861350084
Entity Type Code : Individual
Provider Name (Legal Business Name) : LADYSHA D HARRELL
Provider Business Mailing Address
First Line : 408 HOLMAN ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28306-1884
Country : US
Telephone Number : 910-973-0589
Fax Number :
Provider Business Practice Location Address
First Line : 1638 OWEN DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3424
Country : US
Telephone Number : 910-227-9427
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “ LADYSHA D HARRELL ” Practice Location

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