Individual
STACY LENNAR CROSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
1231 FOLLY RD, CHARLESTON, SC 29412-4105
(843) 762-2153
Mailing address
7400 RIVERS AVE UNIT A, NORTH CHARLESTON, SC 29406-4645
(843) 572-0275
(843) 572-0395
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
861
SC
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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