Individual
KIM ANNETTE LUKRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1050 CAVALIER WAY, ROEBUCK, SC 29376-3364
(864) 582-4347
(864) 587-8738
Mailing address
1050 CAVALIER WAY, ROEBUCK, SC 29376-3364
(864) 582-4347
(864) 587-8738
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
34047
SC
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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