NPI 1366695926

Lesly Wilson James, PHDOTRL

Practitioner Contractor Irmo, SC

Practice location

Address: 135 Garden Brooke, Irmo, SC 29063
Phone: (803) 608-2044

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 1427 (SC)

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Registry record

NPI: 1366695926
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Oct 2008
Record last updated: 18 Sep 2015

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.