Individual
LISA B PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
100 OMNI DR STE B, SENECA, SC 29672-9448
(864) 886-9250
(864) 886-9251
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2064
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1130
—
SC
Enumeration date
01/26/2006
Last updated
01/03/2024
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