Provider Demographics
NPI:1275281214
Name:MORRISON, LITA BAGGARLY
Entity Type:Individual
Prefix:MRS
First Name:LITA
Middle Name:BAGGARLY
Last Name:MORRISON
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 1:1401 MATTHEWS TOWNSHIP PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-5403
Mailing Address - Country:US
Mailing Address - Phone:704-384-1080
Mailing Address - Fax:704-384-1122
Practice Address - Street 1:1401 MATTHEWS TOWNSHIP PKWY STE 100
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5403
Practice Address - Country:US
Practice Address - Phone:704-384-1080
Practice Address - Fax:704-384-1122
Is Sole Proprietor?:No
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL-28606174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN