Individual
MS. CARA DYAN LANPHERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9330 MEDICAL PLAZA DR, NORTH CHARLESTON, SC 29406-9104
(843) 797-7000
Mailing address
1601 GREENE ST, COLUMBIA, SC 29208-4001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24391
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2020
Last updated
12/11/2020
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