Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 918 | SC |
Y | 213ES0000X | Sports Medicine | 918 | SC |
NPI | 1154388064 |
---|---|
Provider Name | Dr. Nancy Rose Lembo |
First Address | Summerville, SC 29485 |
Second Address | Summerville, SC 29485-8796 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 06/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009181 | (05) | SC |
400863 | (05) | SC |
G493817684 | (02) | SC |