Individual
MRS. BONNIE WHITE LANCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
355 CEDAR SPRINGS RD, SPARTANBURG, SC 29302-4628
(864) 577-7675
(864) 577-7629
Mailing address
335 CEDAR SPRINGS ROAD, SPARTANBURG, SC 29302
(864) 577-7675
(864) 577-7629
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
71849
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71849
—
SC
Enumeration date
02/25/2013
Last updated
02/25/2013
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