Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corlandra Lacrystal Weaver

Individual provider Driver · NPI 1720799455

Corlandra Lacrystal Weaver is a Driver in Tuscaloosa, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2022
Specialties on file
3

Practice location Address checks out

2428 6th St E
Tuscaloosa, AL 35404-3114
Phone: (205) 887-0799
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X · Licence 9372691 (AL)
Driver Taxonomy 172A00000X · Licence 9372691 (AL)
Phlebotomy Technician Taxonomy 246RP1900X · Licence 650418160035 (AL)

Record details

NPI number1720799455
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 13, 2022
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022

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