Wright, Lisa M

Wright, Lisa M is an individual health care provider with primary practice located at 276 N Ron Mcnair Blvd , Lake City SC 29560-2462. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wright, Lisa M can be contacted via phone (843) 394-5471.

Contact Information

Primary practice address
276 N Ron Mcnair Blvd Lake City SC 29560-2462
Phone: (843) 394-5471
Fax: (433) 945-4598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25363 South Carolina

Profile Details

NPI number 1700825858
LBN Legal business name Wright, Lisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Oct 10th, 2023 - 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 1700825858 NPPES
South Carolina MEDICAID 253638
South Carolina Other 576007863002
South Carolina Other 576007863002
South Carolina Other P00352728

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