Individual
MS. LORA RENEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 402-1000
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
00062981
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3299
—
SC
05
—
NP0616
—
SC
Enumeration date
01/08/2007
Last updated
02/19/2009
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