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Ms. Dale Lullo, AGACNP
Acute Care Nurse Practitioner in Orangeburg, South Carolina
NPI 1245720101

Dale Lullo is an Acute Care Nurse Practitioner based in New York, SC and is specialized in Acute Care. Dale Lullo practices in Orangeburg, SC and has the professional credentials of AGACNP. The NPI Number for Dale Lullo is 1245720101 and holds a License No. 21933 (South Carolina).

The current practice location address for Dale Lullo is 3000 Saint Matthews Rd, Orangeburg, SC and can be reached out via phone at 843-431-2000. You can also correspond with Dale Lullo through the mailing address at PO BOX 23321, NEW YORK, NY - 10087-0332 (mailing address contact number: 803-533-2200).

Location: 3000 Saint Matthews Rd, Orangeburg, SC, 10087-0332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245720101
Provider Name
Dale Lullo
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
3000 Saint Matthews Rd, Orangeburg, SC, 10087-0332
Phone Number
843-431-2000
Fax Number
Provider Enumeration Date
05/16/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 SC
institution
Provider Business Practice Location Address Details
Address
3000 Saint Matthews Rd
City
Orangeburg
State
South Carolina
Zip
29118
Phone Number
843-431-2000
Fax Number
person
Provider Business Mailing Address Details
Address
3000 Saint Matthews Rd
City
Orangeburg
State
South Carolina
Zip
29118
Phone Number
843-431-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
21933 (South Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
21933 (South Carolina)
Definition
Definition to come...
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