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Lorenzo Sentell Black
Family Nurse Practitioner in Liberty, South Carolina
NPI 1548886062

Lorenzo Sentell Black is a Family Nurse Practitioner based in Greenville, SC and is specialized in Family. Lorenzo Sentell Black practices in Liberty, SC. The NPI Number for Lorenzo Sentell Black is 1548886062 and holds a License No. 228658 (South Carolina).

The current practice location address for Lorenzo Sentell Black is 300 W Front St, Liberty, SC and can be reached out via phone at 864-843-5605 and via fax at 864-843-0996.

Location: 300 W Front St, Liberty, SC, 29601-2842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548886062
Provider Name
Lorenzo Sentell Black
Credential
Provider Entity Type
Individual
Gender
Male
Address
300 W Front St, Liberty, SC, 29601-2842
Phone Number
864-843-5605
Fax Number
864-843-0996
Provider Enumeration Date
06/20/2020
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP7292 05 SC
institution
Provider Business Practice Location Address Details
Address
300 W Front St
City
Liberty
State
South Carolina
Zip
29657-1012
Phone Number
864-843-5605
Fax Number
864-843-0996
person
Provider Business Mailing Address Details
Address
300 W Front St
City
Liberty
State
South Carolina
Zip
29657-1012
Phone Number
864-843-5605
Fax Number
864-843-0996
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
228658 (South Carolina)
Definition
Definition to come...
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