Individual
LISA LIFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 LONGCREEK DR APT 264, COLUMBIA, SC 29210-7156
(617) 849-4293
Mailing address
1601 LONGCREEK DR APT 264, COLUMBIA, SC 29210-7156
(617) 849-4293
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
631121190011
NC
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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