LARA J ALICEA

NORTH CHARLESTON, SC
NPI1538624705
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  22569)
Enumeration Date2019-02-01
Last Update Date2019-02-01
Business Address
Mrs. LARA J ALICEA FNP-C
2375 BAKER HOSPITAL BLVD
NORTH CHARLESTON, SC 29405-8233
Phone number: 843-744-2750
Mailing Address
Mrs. LARA J ALICEA FNP-C
2244 ASHLEY CROSSING DR UNIT 112
CHARLESTON, SC 29414-6082
Phone number: 951-445-8667
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