Individual
MRS. SARAH KENNERLY LUSTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1131 WANDO RD, WANDO, SC 29492-7854
(843) 364-4918
(843) 884-4618
Mailing address
1131 WANDO RD, WANDO, SC 29492-7854
(843) 364-4918
(843) 884-4607
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
84468
SC
Other
Enumeration date
08/03/2022
Last updated
09/25/2023
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