Individual
LAUREN FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3419 MAIN ST, NEWBERRY, SC 29108
(803) 321-2600
Mailing address
PO BOX 718, NEWBERRY, SC 29108
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
104853
SC
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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