Individual
MRS. LISA PASCAL MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1483 TOBIAS GLADSON BLVD, SUITE 209, CHARLESTON, SC 29407
(843) 792-4113
Mailing address
1483 TOBIAS GLADSON BLVD, SUITE 209, CHARLESTON, SC 29407
(843) 792-9888
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
082279-23
NH
363L00000X
Nurse Practitioner
Primary
25487
SC
363LF0000X
Family Nurse Practitioner
NP95003696
CA
363LF0000X
Family Nurse Practitioner
RN2310334
MA
Other
Enumeration date
02/24/2016
Last updated
12/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us