IndividualActive
Gabriel Lacewell
NPI 1356809776 · Driver · Fayetteville, NC
Provider details
- NPI number
- 1356809776
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 26079338 (NC)
Mailing address
223 Randolph Ave
Fayetteville, NC 28311-2742
Registry dates
- Enumerated
- 2019-03-05
- Last updated
- 2019-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.