Individual provider · Type 1 NPI

Lara J. Alicea, FNP-C

Family Nurse Practitioner · North Charleston, SC

NPI number 1538624705 Active

Practice location

2375 Baker Hospital Blvd
North Charleston, SC 29405-8233

Call (843) 744-2750 Map

Mailing address

2244 Ashley Crossing Dr Unit 112
Charleston, SC 29414-6082

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	22569 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1538624705

Lara J. Alicea, FNP-C's National Provider Identifier is 1538624705, issued on Feb 1, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in North Charleston, SC. The record was last updated on Feb 1, 2019.