Individual
LAKOSHA T WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2050 CORPORATE CENTRE DR STE 220, MYRTLE BEACH, SC 29577-7428
(843) 492-6302
Mailing address
2050 CORPORATE CENTRE DR STE 220, MYRTLE BEACH, SC 29577-7428
(843) 492-6302
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30570
SC
Other
Enumeration date
06/25/2025
Last updated
08/27/2025
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