| Christian Lara-ensslin, PA-C | |
|
3655 Mitchell St, Loris, SC 29569-2827 | |
| (843) 716-7000 | |
| Not Available |
| Full Name | Christian Lara-ensslin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3655 Mitchell St, Loris, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124766134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Lara-ensslin, PA-C 3655 Mitchell St, Loris, SC 29569-2827 Ph: (843) 716-7000 | Christian Lara-ensslin, PA-C 3655 Mitchell St, Loris, SC 29569-2827 Ph: (843) 716-7000 |
Mrs. Ashley Smith Wilson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3109 Casey St, Loris, SC 29569 Phone: 843-756-9292 Fax: 843-756-9260 | |
Ashley Nicole Tiller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3109 Casey St, Loris, SC 29569 Phone: 843-756-9292 Fax: 843-756-9260 |