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Contact Information

LUCILLE M SANDERS, CFNP
333 REVOLUTIONARY TRL
FAIRFAX, SC29827-7109
 Phone: 803-632-2533
 Fax: 803-632-2451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LUCILLE M SANDERS · (Female)

NPI Number 1538170121
Status Active
Credentials CFNP
Entity Individual
Enumeration date 08/10/2006
Last updated 01/11/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 49
  • SC Medicaid NP0070
  • SC Other 49 MEDICAL LICENSE
Hospital affiliation(s)
  • ALLENDALE COUNTY HOSPITAL - (Critical Access)
    1787 ALLENDALE FAIRFAX RD
    FAIRFAX, SC 29827
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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