Individual
LISA SAULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
600 N WHEELER AVE, PROSPERITY, SC 29127-9332
(803) 364-4852
(803) 364-2014
Mailing address
PO BOX 630, PROSPERITY, SC 29127-0630
(803) 364-4852
(803) 364-2014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22483
SC
Other
Enumeration date
02/18/2019
Last updated
01/19/2026
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