Search › South Carolina › 363L00000X
Lisa Mack, F.N.P
NPI 1568822252 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1483 Tobias Gladson Blvd
Suite 209
Charleston, SC 29407 - Phone
- (843) 792-4113
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363L00000X
363LF0000X
363LF0000X - Licence states on file
- NH, MA, SC, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-09
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