Individual
LASHONDA S TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10120 TWO NOTCH RD APT 133, COLUMBIA, SC 29223-4395
(803) 308-4143
Mailing address
10120 TWO NOTCH RD APT 133, COLUMBIA, SC 29223-4395
(803) 308-4143
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21476
SC
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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