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Individual

LISA B BRANNIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
109 MIDLANDS CT, STE A, WEST COLUMBIA, SC 29169-3456
(803) 926-1515
Mailing address
109 MIDLANDS CT, STE A, WEST COLUMBIA, SC 29169-3456
(803) 926-1515

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN2441
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP0490
SC
Enumeration date
02/07/2006
Last updated
12/12/2007
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