Individual
SARAH ASHLEY LORICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
1117 N SHADOW DR, MOUNT PLEASANT, SC 29464-3733
(865) 318-9779
Mailing address
1117 N SHADOW DR, MOUNT PLEASANT, SC 29464-3733
(865) 318-9779
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2523
TN
363A00000X
Physician Assistant
Primary
4624
SC
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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