Lullo, Dale

Lullo, Dale is an individual health care provider with primary practice located at 3000 Saint Matthews Rd , Orangeburg SC 29118. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Lullo, Dale can be contacted via phone (843) 431-2000.

Contact Information

Primary practice address
3000 Saint Matthews Rd Orangeburg SC 29118
Phone: (843) 431-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 21933 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 21933 South Carolina

Profile Details

NPI number 1245720101
LBN Legal business name Lullo, Dale
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2018
Last updated Oct 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245720101 NPPES
South Carolina MEDICAID PENDING

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