Individual
VIRGINIA LOCHART BAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3370 GENERAL WILLIAMS DRIVE, FLORENCE, SC 29506
(843) 702-9392
(866) 493-3039
Mailing address
201 CASHUA ST, DARLINGTON, SC 29532-3301
(843) 393-7452
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN22586
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN22586
NURSE BOARD
SC
Enumeration date
02/24/2019
Last updated
10/07/2024
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