Individual
MRS. LOURDES DAMASCO TEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
301 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
(803) 996-1500
Mailing address
137 SHIPYARD BLVD, CHAPIN, SC 29036-7768
(803) 944-7540
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421504
—
SC
Enumeration date
11/19/2007
Last updated
11/29/2010
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