Basic Information
| Provider Information | |||||||||
| NPI: | 1437781788 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCALLISTER | ||||||||
| FirstName: | LAURENISHA | ||||||||
| MiddleName: | PARROTT | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LPN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 995 TOOK PL | ||||||||
| Address2: | |||||||||
| City: | FLORENCE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 295056505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8432307719 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1451 RETAIL ROW | ||||||||
| Address2: | |||||||||
| City: | HARTSVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 295504258 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8433834848 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2020 | ||||||||
| LastUpdateDate: | 02/05/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/05/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164W00000X | 43200 | SC | Y | Nursing Service Providers | Licensed Practical Nurse |
No ID Information.