Individual
MRS. LORI FAITH MUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
905 POPE ST, NEWBERRY, SC 29108-1928
(803) 944-0427
Mailing address
25980 SC HIGHWAY 34, SILVERSTREET, SC 29145-9056
(803) 944-0427
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
215908
SC
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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