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Individual

LORRAINE ANN BRUCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
109 OMNI DR STE B, SENECA, SC 29672-9448
(864) 888-4222
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 551-2286

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13624
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136249
SC
05
372048
SC
Enumeration date
08/31/2005
Last updated
01/28/2025
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