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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LACEDRIC CRAWFORD

Active Sole Proprietor

LACEDRIC CRAWFORD is a Chore Provider healthcare provider located in NORTHPORT, Alabama. NPI 1861002396 is currently active in the NPPES registry. Verify at CMS.

Chore Provider · NORTHPORT, AL

Registration Details

NPI Number
1861002396
Provider Type
Individual
Gender
Male
NPI Issued
Aug 10, 2020 (6.0382039178502 yrs)
Last Updated
Aug 10, 2020
License
RES888018 (AL)
Sole Proprietor
Yes

Practice Information

Address
13055 GARDEN CREEK LANE
NORTHPORT, AL, 35473
Browse AL providers · Browse ZIP 35473
Phone
2052924538
Primary Specialty
Chore Provider
372500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.