LACEY MCKEOWEN

ORANGEBURG, SC
NPI1396283404
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: SC  20741)
Enumeration Date2017-02-09
Last Update Date2017-02-09
Business Address
-- LACEY MCKEOWEN NP
940 HOLLY ST
ORANGEBURG, SC 29115-4930
Phone number: 803-536-2725
Mailing Address
-- LACEY MCKEOWEN NP
940 HOLLY ST
ORANGEBURG, SC 29115-4930
Phone number: 803-536-2725
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