LORELA PENGU

MYRTLE BEACH, SC
NPI1619781374
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  5738)
Enumeration Date2025-02-04
Last Update Date2025-03-24
Business Address
LORELA PENGU
210 VILLAGE CENTER BLVD STE 200
MYRTLE BEACH, SC 29579-6706
Phone number: 843-353-3460
Mailing Address
LORELA PENGU
210 VILLAGE CENTER BLVD STE 140
MYRTLE BEACH, SC 29579-6706
Phone number: 843-353-3460
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