Individual
DR. LAUREN ASHLEY LISATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MD
Contact information
Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 792-1414
Mailing address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MMD.95141LL
SC
Other
Enumeration date
04/08/2025
Last updated
07/27/2025
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