Individual
LAUREN GENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
152 KINGSTON RD, GREENWOOD, SC 29649-8417
(803) 576-2744
Mailing address
152 KINGSTON RD, GREENWOOD, SC 29649
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
220912
SC
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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