Individual
MRS. LESIA B MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3394 YOUNG CHARLES DR, FLORENCE, SC 29501-8272
(843) 624-8098
Mailing address
3394 YOUNG CHARLES DR, FLORENCE, SC 29501-8272
(843) 624-8098
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
93302
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
24090
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93302
NURSING LICENSE
SC
01
—
93302
NURSING LICENSE
—
Enumeration date
05/11/2020
Last updated
01/23/2022
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