Most Relevant Information
Provider Data
| NPI Number: | 1003234956 |
| Provider Name: | LISA DILLARD |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC1500X |
| Specialty: | Registered Nurse |
| License Number: | 26151 |
Most Important Dates
| Enumeration Date: | 03/28/2014 |
| Last Updated: | 03/28/2014 |
Provider Practice Location
200 UNIVERSITY RDG
GREENVILLE
SC
296013635
Practice Location Phone/Fax
| Phone: | 8643723066 |
| Fax: |
Provider Mailing Location
201 SOMERSET DR
LYMAN
SC
293651232
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |