Individual
MARK K. LENCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
146 E HOSPITAL DR STE 120A, WEST COLUMBIA, SC 29169-4800
(803) 936-7076
(803) 936-7925
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
18283
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T22507
—
SC
Enumeration date
08/11/2006
Last updated
11/09/2020
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