Individual
MRS. KATHLEEN MARIE LANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
255 N HIGHWAY 52, SUITE #8, MONCKS CORNER, SC 29461-3927
(843) 899-9420
(843) 899-9421
Mailing address
255 N HIGHWAY 52, SUITE #8, MONCKS CORNER, SC 29461-3927
(843) 899-9420
(843) 899-9421
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209009043
IL
363LF0000X
Family Nurse Practitioner
Primary
APN19005
SC
Other
Enumeration date
11/01/2011
Last updated
02/06/2015
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