Berlin, Leslee Lowder

Berlin, Leslee Lowder is an individual health care provider with primary practice located at 2720 Sunset Blvd , West Columbia SC 29169-4810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Berlin, Leslee Lowder can be contacted via phone (803) 935-8292.

Contact Information

Primary practice address
2720 Sunset Blvd West Columbia SC 29169-4810
Phone: (803) 935-8292
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 52683 South Carolina

Profile Details

NPI number 1558338665
LBN Legal business name Berlin, Leslee Lowder
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Dec 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558338665 NPPES
South Carolina MEDICAID AN1352

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