Individual
DR. LILLIANNE MARIE LEWIS DEBNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
57 JESSAMINE AVE, GEORGETOWN, SC 29440-5837
(843) 546-8686
(843) 546-1353
Mailing address
57 JESSAMINE AVE, GEORGETOWN, SC 29440-5837
(843) 546-8686
(843) 546-1353
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
074570
GA
208000000X
Pediatrics Physician
86761
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2012
Last updated
07/15/2024
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