Provider Demographics
NPI:1356037329
Name:FRANCISCO, GABRIELA (LC)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:LC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7233 ORCHARD RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-9538
Mailing Address - Country:US
Mailing Address - Phone:631-495-2354
Mailing Address - Fax:
Practice Address - Street 1:2128 REMOUNT RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-5051
Practice Address - Country:US
Practice Address - Phone:980-244-3748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL-154775174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN