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Individual

LISA LYNETTE BRAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
321 OLD COURSE LOOP, BLYTHEWOOD, SC 29016-8936
(516) 642-8081
Mailing address
321 OLD COURSE LOOP, BLYTHEWOOD, SC 29016-8936
(516) 642-8081

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002103156
VA
171M00000X
Case Manager/Care Coordinator
0002103156
VA
251E00000X
Home Health Agency
0002103156
VA
385H00000X
Respite Care
0002103156
VA

Other

Enumeration date
08/03/2026
Last updated
08/03/2026
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