Lagina M McClinton
Individual provider Active NPI Contractor · Charlotte, NC
NPI 1841019262 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1841019262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- DURXVEEXHM (NC)
- Practice address
- 416 McCullough Dr Ste 210
Charlotte, NC 28262-4393 - Phone
- (704) 277-3538
- NPI assigned
- Oct 3, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DURXVEEXHM | NC | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | DURXVEEXHM | NC | Yes |
Addresses
Primary practice location
416 McCullough Dr Ste 210
Charlotte, NC 28262-4393
Mailing address
416 McCullough Dr Ste 210
Charlotte, NC 28262-4393
Phone (704) 277-3538
Other providers in Charlotte, NC
- Trinity McClellan
- Bryanna McClendis
- Michele McClendon
- McClendon'S Gentle Touch Home Care
- Ashley McCleskey
- McCloud Acosta Clinical Services PLLC
- Rebecca McClough
- Sarah E. McCloy
- Mary Ann McClucas
- Diane McClung
All providers in Charlotte, NC · Contractor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.