Individual
DR. LORIANNE T EZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2097 HENRY TECKLENBURG DR, SUITE: 312 W, CHARLESTON, SC 29414-5740
(843) 769-5620
(843) 769-5625
Mailing address
2097 HENRY TECKLENBURG DR, SUITE: 312 W, CHARLESTON, SC 29414-5740
(843) 769-5620
(843) 769-5625
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20450
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204503
—
SC
Enumeration date
01/30/2006
Last updated
04/29/2019
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