Clyburn, Lisa D

Clyburn, Lisa D is an individual health care provider with primary practice located at 216 E Marion St , Kershaw SC 29067-1442. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clyburn, Lisa D can be contacted via phone (803) 475-3350.

Contact Information

Primary practice address
216 E Marion St Kershaw SC 29067-1442
Phone: (803) 475-3350
Fax: (803) 475-3355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3698 South Carolina

Profile Details

NPI number 1235380254
LBN Legal business name Clyburn, Lisa D
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2008
Last updated Feb 24th, 2012 - about 14 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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