Diane Lamb, RN

Individual provider Active NPI School Registered Nurse · Woodruff, SC

NPI 1467896175 · NPPES record last updated Apr 24, 2013

Key facts

NPI
1467896175
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
25411 (SC)
Practice address
915 Cross Anchor Rd
Woodruff, SC 29388-9525
Phone
(864) 473-3123
NPI assigned
Apr 24, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
25411SCMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 25411 SC Yes

Addresses

Primary practice location

915 Cross Anchor Rd
Woodruff, SC 29388-9525

Mailing address

915 Cross Anchor Rd
Woodruff, SC 29388-9525
Phone (864) 473-3123

Other providers in Woodruff, SC

All providers in Woodruff, SC · School Registered Nurse in South Carolina

Sources for this page

Verify at the official NPI Registry.