Individual
LAVELLE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
675 N MATTHEWS RD, LAKE CITY, SC 29560-7027
(843) 394-7600
(843) 661-4892
Mailing address
125 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 317-4089
(843) 317-4096
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
20468
SC
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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