Individual
MRS. LAURA BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1833 PAGELAND HWY, LANCASTER, SC 29720-7606
(803) 286-8441
(803) 286-1258
Mailing address
1833 PAGELAND HWY, PO BOX 817, LANCASTER, SC 29720-7606
(803) 286-8441
(803) 286-1258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
43806
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43806
SC NURSING LICENSE
SC
Enumeration date
04/29/2014
Last updated
04/29/2014
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