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Individual

LISA R NAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
11082 N RADIO STATION RD, SENECA, SC 29678-1142
(864) 882-2314
(864) 882-3677
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
3713
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP1316
SC
01
P01058069
RAILROAD MEDICARE
SC
Enumeration date
10/09/2008
Last updated
07/12/2024
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