Individual
LATASCHA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 ELM ABODE TER, COLUMBIA, SC 29210-7716
(803) 629-0733
Mailing address
1836 ELM ABODE TER, COLUMBIA, SC 29210-7716
(803) 629-0733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
75815
SC
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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