Individual
LOLA C MASSOGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4050 BRIDGE VIEW DR, NORTH CHARLESTON, SC 29405-7488
(336) 682-0007
Mailing address
2243 DANIEL ISLAND DR, DANIEL ISLAND, SC 29492-7952
(336) 682-0007
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
214594
SC
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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