Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 19553 | SC |
NPI | 1245486760 |
---|---|
Provider Name | Lisa E Hughes |
First Address | Mt. Pleasant, SC 29464 |
Second Address | Mt. Pleasant, SC 29464 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2008 |
Last Update Date | 15/08/2008 |