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Individual

MS. VIKI LAMBERTUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4303 LIVE OAK DR, LITTLE RIVER, SC 29566-9138
(843) 663-8000
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20124
SC
363LF0000X
Family Nurse Practitioner
5004752
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP3870
SC
Enumeration date
08/04/2010
Last updated
06/22/2016
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