Individual
MS. LISA D CLYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
216 E MARION ST, KERSHAW, SC 29067-1442
(803) 475-3350
(803) 475-3355
Mailing address
PO BOX 1259, CAMDEN, SC 29021-1259
(803) 713-8350
(803) 713-9256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3698
SC
Other
Enumeration date
10/08/2008
Last updated
02/24/2012
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