Individual
DR. LUCINDA DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 ROBERTSON BLVD, WALTERBORO, SC 29488-2787
(843) 599-0817
(843) 782-2331
Mailing address
501 ROBERTSON BLVD, WALTERBORO, SC 29488-2787
(843) 599-0817
(843) 782-2331
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101250144
VA
208000000X
Pediatrics Physician
01057518
IN
208000000X
Pediatrics Physician
Primary
30247
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0791148
—
OH
05
—
1184606428
—
VA
05
—
200429360
—
IN
05
—
302470
—
SC
Enumeration date
11/14/2005
Last updated
04/12/2023
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