Individual
KAREN M LOMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
725 GROVE RD, GREENVILLE, SC 29605-9998
(864) 455-6968
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02836
KY
207P00000X
Emergency Medicine Physician
39085
SC
2084P0800X
Psychiatry Physician
02836
KY
2084P0804X
Child & Adolescent Psychiatry Physician
02836
KY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
39085
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390856
—
SC
05
—
64102213
—
KY
01
—
SC8442
MEDICARE
SC
Enumeration date
10/23/2006
Last updated
04/09/2025
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