Individual
MRS. LISA M CASTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
325 MERCY ST, LAKE CITY, SC 29560-2331
(843) 394-5471
(843) 394-5459
Mailing address
325 MERCY ST, LAKE CITY, SC 29560-2331
(843) 394-5471
(843) 394-5459
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
432
SC
Other
Enumeration date
09/16/2006
Last updated
06/25/2013
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