NPI 1154795615

Leah Antunes, CMA

Practitioner Exclusive Provider Organization Lexington, SC

Practice location

Address: 110 Mockingbird Dr, Lexington, SC 29073-8739
Phone: (803) 237-4103

Registered specialties (5)

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 47-5267829 (SC)

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Driver

Other Service Providers Taxonomy 172A00000X Licence 100295992 (SC)

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Private Vehicle

Transportation Services Taxonomy 347C00000X Licence 100295992 (SC)

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Voluntary or Charitable Agency

Agencies Taxonomy 251V00000X Licence 475267829 (SC)

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence 475267829 (SC)

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Registry record

NPI: 1154795615
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Nov 2015
Record last updated: 23 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.