LORELA PENGU

Physician Assistant

Active Individual
NPI: 1619781374

Practice Address

210 VILLAGE CENTER BLVD STE 200
Myrtle Beach, SC 29579

Phone: (843) 353-3460

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 5738 (SC)

Frequently Asked Questions

NPI 1619781374 is the National Provider Identifier for LORELA PENGU, a Physician Assistant provider located in Myrtle Beach, SC. This NPI was enumerated on February 4, 2025.
LORELA PENGU practices at 210 VILLAGE CENTER BLVD STE 200, Myrtle Beach, SC 29579.

Quick Facts

NPI
1619781374
Type
Individual
Enumerated
Feb 4, 2025
Last Updated
Mar 24, 2025

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