Individual
LISA MCLAURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 465-4022
Mailing address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 465-4022
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19850
SC
Other
Enumeration date
01/30/2016
Last updated
01/31/2016
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