Provider Demographics
NPI:1699283580
Name:WILLIAMS, LACRESHA
Entity type:Individual
Prefix:MS
First Name:LACRESHA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 FERNHALL ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:27525-8460
Mailing Address - Country:US
Mailing Address - Phone:919-340-3800
Mailing Address - Fax:
Practice Address - Street 1:8 FERNHALL ST
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:NC
Practice Address - Zip Code:27525-8460
Practice Address - Country:US
Practice Address - Phone:919-340-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-13
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC171WV0202X
374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No171WV0202XOther Service ProvidersContractorVehicle Modifications