Tashure Lott
NPI #1700640323 in Union, South Carolina
Provider Information
- NPI Number
- 1700640323
- Entity Type
- Individual
- Name
- Tashure Lott
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Feb 13, 2024
- Last Updated
- Feb 13, 2024
Practice Location
- Address
- 508 TOLUCA ST
- City
- Union
- State
- South Carolina
- ZIP Code
- 29379-2058
- Phone
- (864) 466-2753
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Student in an Organized Health Care Education/Training Program |
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| Jessia Irene Smith | |
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Organizations
| Provider Name | |
|---|---|
| Youth Options Under Teen Health, INC | |
| Greenwood School District 52 |
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