AMANDA LACK, APRN
Nurse Practitioner - Gerontology
Active
Individual
NPI: 1124532528
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Adult Health | 363LA2200X | No | RN162689 (GA) |
| Nurse Practitioner - Gerontology | 363LG0600X | Yes | 23238 (SC) |
Frequently Asked Questions
NPI 1124532528 is the National Provider Identifier for AMANDA LACK, APRN, a Nurse Practitioner - Gerontology provider located in Anderson, SC. This NPI was enumerated on November 21, 2017.
AMANDA LACK, APRN practices at 108 HIGHWAY 28 BYP, Anderson, SC 29624.
Quick Facts
- NPI
- 1124532528
- Type
- Individual
- Enumerated
- Nov 21, 2017
- Last Updated
- Dec 14, 2021
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