Individual
LISA D EMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
271 BARN OWL RD, GILBERT, SC 29054-9075
(803) 727-7910
Mailing address
271 BARN OWL RD, GILBERT, SC 29054-9075
(803) 727-7910
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0052752
SC
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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