Individual
LAUREN WIKENHEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-2026
(843) 792-1414
Mailing address
1322 FENWICK PLANTATION RD, JOHNS ISLAND, SC 29455-3139
(612) 716-9764
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
254390
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
27455
SC
Other
Enumeration date
05/22/2023
Last updated
01/06/2025
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