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1316421597
LISA R. RODRIGUEZ
SUMMERVILLE, SC
NPI
1316421597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 22238)
Enumeration Date
2018-09-24
Last Update Date
2024-12-28
Business Address
LISA R. RODRIGUEZ APRN
2001 2ND AVE STE 201
SUMMERVILLE, SC 29486-7887
Phone number: 843-793-6980
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Mailing Address
LISA R. RODRIGUEZ APRN
2015 2ND AVE STE 204
SUMMERVILLE, SC 29486-7889
Phone number: 843-793-6980
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