Individual
CHERYL ANN LONABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1113 CHURCH ST, CONWAY, SC 29526-4128
(843) 348-6269
Mailing address
1113 CHURCH ST, CONWAY, SC 29526-4128
(843) 248-6269
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0028446
DE
363L00000X
Nurse Practitioner
Primary
5019279
NC
363LF0000X
Family Nurse Practitioner
23063
SC
363LF0000X
Family Nurse Practitioner
LG-0000351
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
556304600
—
MD
Enumeration date
10/06/2006
Last updated
10/02/2025
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