Individual
ALYSSA MICHELLE LURIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 CALHOUN ST, CHARLESTON, SC 29401-3502
(843) 937-6300
Mailing address
75 CALHOUN ST, CHARLESTON, SC 29401-3502
(843) 937-6300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22523
SC
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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