Individual
LAUREN KUPERUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3411 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-6111
(866) 389-2727
Mailing address
2169 EASTWOODS DR, CONWAY, SC 29526-7714
(843) 855-4673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19898
SC
Other
Enumeration date
10/18/2016
Last updated
11/13/2019
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