NPI 1003974171 · live from the CMS NPI Registry
Lake Murray Obgyn
Obstetrics & Gynecology, Gynecology in Lexington, SC. National Provider Identifier 1003974171, active.
NPI record
| NPI | 1003974171 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Gynecology 207VG0400X |
| Practice location | 1404 W Main St Ste 1, Lexington, SC 29072 |
| Practice phone | 803-996-5550 |
| Enumerated | December 4, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Stacy Smithson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Gynecology primary | 207VG0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.