Tiberian, Lara Jennifer

Tiberian, Lara Jennifer is an sole proprietor health care provider with primary practice located at 2108 Short Grass Ct , Mount Pleasant SC 29466-8161. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Tiberian, Lara Jennifer can be contacted via phone (843) 343-1654.

Contact Information

Primary practice address
2108 Short Grass Ct Mount Pleasant SC 29466-8161
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4236 South Carolina

Profile Details

NPI number 1124364799
LBN Legal business name Tiberian, Lara Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2012
Last updated Jul 11th, 2016 - about 8 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.

Request for update

Popular Providers