Individual
LISA COMETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 FAISON DR, COLUMBIA, SC 29203-3210
(803) 898-8405
(803) 898-8526
Mailing address
PO BOX 485, COLUMBIA, SC 29202-0485
(803) 898-8405
(803) 898-8526
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
67968
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0808
—
SC
Enumeration date
05/17/2006
Last updated
02/26/2009
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