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Contact Information

LASHANNA GREEN
1010 PLEASANT GROVE CT
DILLON, SC29536-7791
 Phone: 843-453-2696
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for LASHANNA GREEN · (Female)

NPI Number 1184181570
Status Active
Credentials
Entity Individual
Enumeration date 02/21/2019
Last updated 06/26/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 228552
  • SC License # 26975
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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