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Contact Information

LARISSA S ADDISON
4901 DAWN DR STE 3200
LUMBERTON, NC28360-8288
 Phone: 910-735-8040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LARISSA S ADDISON · (Female)

NPI # 1588551097
Status Active
Credentials
Entity Individual
Enumeration date 06/18/2025
Last updated 01/05/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • NC License # 314715
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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