SearchSouth Carolina101YP2500X

Lara Tiberian

NPI 1124364799 · on the registry since 2012 · sole proprietor

Practice

Address
2108 Short Grass Ct
Mount Pleasant, SC 29466
Phone
(843) 343-1654

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-07-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina