Individual
LATOYA SIERRA LANE-MILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
960 PAMPLICO HWY STE L, FLORENCE, SC 29505-6244
(843) 804-6689
Mailing address
960 PAMPLICO HWY STE L, FLORENCE, SC 29505-6244
(843) 804-6689
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23695
SC
Other
Enumeration date
01/03/2020
Last updated
06/30/2021
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