Individual
DR. LISSETTE P.G. MADURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
102 CESTRAIN SQ, CHESTER, SC 29706-1978
(803) 581-0574
(803) 581-5898
Mailing address
102 CESTRAIN SQ, CHESTER, SC 29706-1978
(803) 581-0574
(803) 581-5898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29144
SC
Other
Enumeration date
07/20/2006
Last updated
02/10/2010
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