Individual
MRS. LISA PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 SPRING CREEK CT, LEXINGTON, SC 29072-7948
(803) 920-6148
Mailing address
213 SPRING CREEK CT, LEXINGTON, SC 29072-7948
(803) 920-6148
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163WH0200X
FIRSTLIGHT HOMECARE OF COLUMBIA, SOUTH CAROLINA
SC
Enumeration date
12/15/2014
Last updated
12/15/2014
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