Lisa Myers

NPI 1750774642 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1750774642
Gender Female
Enumeration Date 03/17/2015
Last Updated 03/17/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1787 ALLENDALE FAIRFAX HWY
FAIRFAX SC, 29827-9133, US
Phone (803) 632-3421
Fax
Business Location
106 BUCKFIELD LN
SUMMERVILLE SC, 29483-7087, US
Phone (843) 367-2878
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State South Carolina
License Number APN19330
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According to our database, Lisa Myers NPI is 1750774642, taxonomy code is 363LF0000X and license number is APN19330, license state is located at South Carolina. Lisa Myers physically located at 1787 Allendale Fairfax Hwy, Fairfax SC, 29827-9133. NPI Number Lisa Myers has the Individual type.

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1750774642 NPI number is provided on an as is basis without warranty of any kind. 1750774642 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Myers are for informational purposes only.