Individual
LOMETRIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108A E MAIN ST, LATTA, SC 29565-1617
(843) 616-8770
Mailing address
611 SANDORRA RD, LATTA, SC 29565-5323
(843) 616-8770
(843) 433-8132
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
291U00000X
Clinical Medical Laboratory
42D2257730
SC
291U00000X
Clinical Medical Laboratory
—
—
332U00000X
Home Delivered Meals
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
—
SC
Other
Enumeration date
02/02/2022
Last updated
04/12/2022
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