Individual
LORENZO SENTELL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W FRONT ST, LIBERTY, SC 29657-1012
(864) 843-5605
(864) 843-0996
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
228658
SC
363LF0000X
Family Nurse Practitioner
Primary
24339
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7292
—
SC
Enumeration date
06/20/2020
Last updated
03/22/2024
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