Individual
LISA DILLARD I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 UNIVERSITY RDG, GREENVILLE, SC 29601-3635
(864) 372-3066
Mailing address
201 SOMERSET DR, LYMAN, SC 29365-1232
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
26151
SC
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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