Individual
LISA BETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
96 JONATHAN LUCAS STREET, SUITE 210, MSC 323, CHARLESTON, SC 29425
(843) 792-4033
Mailing address
96 JONATHAN LUCAS ST, SUITE 210, MSC 323, CHARLESTON, SC 29425-8900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
89788
SC
Other
Enumeration date
04/07/2016
Last updated
06/19/2024
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