Individual
SHELLEY LOUISE LANSAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-3076
(864) 455-4135
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
074400
NC
367500000X
Certified Registered Nurse Anesthetist
3014726
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3068
SC
Other
Enumeration date
11/16/2006
Last updated
12/09/2021
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