Individual
MRS. SARA MARIE LIGHTSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4724 CHARLOTTE HWY, CLOVER, SC 29710-8095
(803) 831-1911
Mailing address
4724 CHARLOTTE HWY, CLOVER, SC 29710-8095
(803) 831-1911
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24434
SC
Other
Enumeration date
06/13/2020
Last updated
11/09/2020
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