Individual
MRS. ANDRILL LAVOUR RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
115 ACADEMY AVENUE, GREENWOOD, SC 29646
Mailing address
1198 LEAMAN ST, CROSS HILL, SC 29332-4100
(864) 993-6320
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23399
SC
363LF0000X
Family Nurse Practitioner
23399
SC
Other
Enumeration date
12/09/2019
Last updated
04/08/2024
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