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Individual

MRS. LORIE JANE SHEARON-HANNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN,CDE

Contact information

Practice address
2000 HOSPITAL DR, SUITE 5110, MOUNT PLEASANT, SC 29464-3764
(843) 416-6595
(843) 416-6937
Mailing address
2000 HOSPITAL DR, SUITE 5110, MOUNT PLEASANT, SC 29464-3764
(843) 416-6595
(843) 416-6937

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
20710373
163WD0400X
Diabetes Educator Registered Nurse
Primary
20710373
SC
174H00000X
Health Educator
71670
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20710373
DIABETES EDUCATION MANAGEMENT
SC
Enumeration date
10/16/2013
Last updated
10/16/2013
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