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Individual

LINDSAY MARIE WEIRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-8972
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-8972

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
LL84083
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30030952
PA DMV
PA
01
LL84083
SC LIMITED LICENSE NUMBER
SC
Enumeration date
06/12/2020
Last updated
10/02/2023
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