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

TaxonomyCodeLicense
Nurse Practitioner 363L00000X21933 (SC)
Acute Care Nurse Practitioner Primary 363LA2100X21933 (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.