Individual
MARISSA LYNN LENIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 SAINT JAMES AVE, GOOSE CREEK, SC 29445-2973
(843) 572-1095
(843) 863-1475
Mailing address
142 SAINT JAMES AVE, GOOSE CREEK, SC 29445-2973
(843) 572-1095
(843) 863-1475
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12971
SC
Other
Enumeration date
08/28/2012
Last updated
12/14/2014
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