Individual
LORRAINE CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1000
Mailing address
8 LOGWOOD DR, GREENVILLE, SC 29607-5387
(949) 933-6576
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83456
SC
Other
Enumeration date
04/20/2018
Last updated
07/19/2021
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