Individual
LAMOR COAXUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 CHARLESTON CENTER DR, CHARLESTON, SC 29401-1162
(843) 579-4574
Mailing address
3 CHARLESTON CENTER DR, CHARLESTON, SC 29401-1162
(843) 579-4574
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
91973
SC
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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