Individual provider · Type 1 NPI
Dale Lullo, AGACNP
Acute Care Nurse Practitioner · Orangeburg, SC
NPI number
1245720101
Active
Practice location
3000 Saint Matthews Rd
Orangeburg, SC 29118
Mailing address
PO Box 23321
New York, NY 10087-0332
Other practice locations
- 22725 Highway 76 E, Clinton, SC 29325-7527 · (864) 833-9100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 21933 (SC) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 21933 (SC) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1245720101
Dale Lullo, AGACNP's National Provider Identifier is 1245720101, issued on May 16, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Orangeburg, SC. The record was last updated on Oct 12, 2023.