Individual
GRANT LONNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1859 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 722-5733
Mailing address
2146 VESPERS DR, CHARLESTON, SC 29414-6240
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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