Individual
LISA S. BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
1900 SUNSET BLVD, SUITE A, WEST COLUMBIA, SC 29169-5959
(803) 794-5889
Mailing address
1900 SUNSET BLVD, SUITE A, WEST COLUMBIA, SC 29169-5959
(803) 794-5889
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LMW-032
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LM0014
—
SC
Enumeration date
06/06/2006
Last updated
06/08/2009
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