LUKE RICHARD LISH

CONWAY, SC
NPI1356194351
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: SC  1356194351)
Enumeration Date2024-04-09
Last Update Date2024-07-25
Business Address
LUKE RICHARD LISH MD
300 SINGLETON RIDGE RD
CONWAY, SC 29526-9142
Phone number: 843-347-7111
Mailing Address
LUKE RICHARD LISH MD
2602 BLUE CRANE CIR UNIT 104
MYRTLE BEACH, SC 29577-2198
Phone number:
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