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Individual

LAURIE G. VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA, BSN

Contact information

Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
129 NORTH WASHINGTON STREET, SUMTER, SC 29150
(803) 774-8726
(803) 774-9846

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26177
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AN0245
SC
Enumeration date
09/12/2006
Last updated
01/31/2012
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