Provider Demographics
NPI:1275104242
Name:SPRAGGINS, LAIKIN
Entity Type:Individual
Prefix:
First Name:LAIKIN
Middle Name:
Last Name:SPRAGGINS
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 1:8761 DILLARD RD
Mailing Address - Street 2:
Mailing Address - City:SCALY MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28775-9501
Mailing Address - Country:US
Mailing Address - Phone:931-434-8194
Mailing Address - Fax:
Practice Address - Street 1:8761 DILLARD RD
Practice Address - Street 2:
Practice Address - City:SCALY MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28775-9501
Practice Address - Country:US
Practice Address - Phone:931-434-8194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-09
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP012534235Z00000X
NC30001439235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist