Individual provider · Type 1 NPI

Lacey McKeowen, NP

Pediatric Nurse Practitioner · Orangeburg, SC

NPI number 1396283404 Active

Practice location

940 Holly St
Orangeburg, SC 29115-4930

Fax (803) 534-3118

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X20741 (SC)

Pediatric Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1396283404

Lacey McKeowen, NP's National Provider Identifier is 1396283404, issued on Feb 9, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Orangeburg, SC. The record was last updated on Feb 9, 2017.