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

Lara Kelly Perretta

Individual provider Rehabilitation Practitioner · NPI 1003522459

Lara Kelly Perretta is a Rehabilitation Practitioner in Wilmington, North Carolina. Licensed in Iowa and North Carolina. Registered with an NPI since 2023.

Licensed in
IA, NC
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2744 S 17th St
Wilmington, NC 28412-6606
Phone: (910) 452-1114
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 3673 (NC)
Rehabilitation Practitioner Taxonomy 225400000X (IA)

Record details

NPI number1003522459
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 30, 2023
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024

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