Individual
LANESIA WANNAMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
151 E WOOD ST, SPARTANBURG, SC 29303-3016
(864) 596-2227
Mailing address
151 E WOOD ST, SPARTANBURG, SC 29303-3016
(864) 596-2227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
238995
SC
Other
Enumeration date
12/08/2020
Last updated
09/22/2021
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