Individual
ELISABETH OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 S LAKE DR, LEXINGTON, SC 29073-3701
(803) 785-6590
Mailing address
1070 S LAKE DR, LEXINGTON, SC 29073-3701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
256274
SC
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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