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MRS. CASEY LYNN LEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
421 79TH AVENUE NORTH, MYRTLE BEACH, SC 29572
(843) 438-6149
Mailing address
221 COPPER LEAF DR, MYRTLE BEACH, SC 29588
(978) 621-0291

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23024RX
SC
363LF0000X
Family Nurse Practitioner
RN198256
MA

Other

Enumeration date
01/18/2017
Last updated
11/12/2024
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