Individual
LAKISHA DANIELLE FLADGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3656 S IRBY ST STE A1068, FLORENCE, SC 29505-5225
(843) 621-6760
Mailing address
3656 S IRBY ST STE A1068, FLORENCE, SC 29505-5225
(843) 621-6760
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
29778
SC
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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