Provider Information for 1649942657
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
LISA ANN EARLY
Sex: Female
NPI: 1649942657
Last Updated: 2024-02-09
Certification Date: 2024-02-09
Certification Date: 2024-02-09
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1649942657 | ||||||||
| Enumeration Date | 2021-09-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1015 BLOCKADE RUNNER PKWY SUMMERVILLE, SC 29485-6317 United States Phone: 808-354-2588 | Fax: | ||||||||
| Primary Practice Address | 89 OLD TROLLEY RD STE 104 SUMMERVILLE, SC 29485-4957 United States Phone: 843-955-5780 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|