Individual
MRS. TERRY B LUPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4542 SIMMS AVE, N CHARLESTON, SC 29405-5256
(843) 529-4616
(843) 529-3903
Mailing address
2720 BRICKMILL LN, MOUNT PLEASANT, SC 29466-7911
(843) 856-9246
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN.36325
SC
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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