Individual
MS. LISA LIAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1400 GRIFFIN MILL RD, EASLEY, SC 29640-6929
(864) 397-1048
Mailing address
1400 GRIFFIN MILL RD, EASLEY, SC 29640-6929
(864) 397-1048
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P24651
SC
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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