Individual
LISA WYNN POOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
139 LAKE POINT DR, FORT MILL, SC 29708-7870
(803) 367-3571
Mailing address
139 LAKE POINT DR, FORT MILL, SC 29708-7870
(803) 367-3571
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3037
SC
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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