Individual
LAUREN MARIE PANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-9348
(843) 792-1414
Mailing address
1161 RIVERCREST DR, CHARLESTON, SC 29412-9348
(703) 973-9594
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
234355
SC
Other
Enumeration date
07/11/2024
Last updated
07/26/2024
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