Individual
CONNIE MAE LENAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
924 E. BUTLER RD, MAULDIN, SC 29662
(864) 234-1282
Mailing address
14 S PENOBSCOT CT, SIMPSONVILLE, SC 29681-4315
(864) 288-3308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18136
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011474834
DRIVE LICENSE
SC
Enumeration date
02/01/2013
Last updated
02/01/2013
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