LISA DANIELLE DRAKE

COLUMBIA, SC
NPI1518903426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: SC  1018)
Enumeration Date2006-06-20
Last Update Date2007-07-08
Business Address
-- LISA DANIELLE DRAKE OD
1600 TAYLOR STREET
COLUMBIA, SC 29201
Phone number: 803-779-7783
Mailing Address
-- LISA DANIELLE DRAKE OD
PO BOX 5721 ATTN ADMINISTRATOR
COLUMBIA, SC 29250
Phone number: 803-779-2273
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