Individual
MISS LAUREN MARIE LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 W SOUTH 4TH ST, SENECA, SC 29678-3324
(864) 886-4455
Mailing address
414 S PINE ST, WALHALLA, SC 29691-2146
(864) 886-4400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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