Individual
LAWRENCE CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425
(843) 792-0192
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
82940
SC
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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