Individual
LASHANNA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 PLEASANT GROVE CT, DILLON, SC 29536-7791
(843) 453-2696
Mailing address
1010 PLEASANT GROVE CT, DILLON, SC 29536-7791
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
228552
SC
363LF0000X
Family Nurse Practitioner
Primary
26975
SC
Other
Enumeration date
02/21/2019
Last updated
06/26/2023
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