Individual
SHARON H LALLEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(800) 805-6989
Mailing address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(800) 805-6968
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
44819
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44819
—
SC
Enumeration date
09/27/2022
Last updated
09/27/2022
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