Individual
LILY HEYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12088 BELLS HWY, RUFFIN, SC 29475-5112
(843) 782-0012
(843) 866-7361
Mailing address
12088 BELLS HWY, RUFFIN, SC 29475-5112
(843) 782-0012
(843) 866-7361
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P23884
SC
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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