Individual
LAUREN LEWIS ST GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 WATER GRANDE BLVD, LITTLE RIVER, SC 29566-8162
(843) 366-4000
Mailing address
PO BOX 31166, MYRTLE BEACH, SC 29588-0020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25975
SC
Other
Enumeration date
04/04/2022
Last updated
04/04/2022
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