Individual
LISA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-2200
(803) 395-2200
Mailing address
PO BOX 23321, NEW YORK, NY 10087
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN19330
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3276
—
SC
Enumeration date
03/17/2015
Last updated
05/22/2025
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