IndividualActive
Lawrence Cooper, SOLE PROPRIETOR
NPI 1821610288 · Contractor · Roebuck, SC
Provider details
- NPI number
- 1821610288
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- SOLE PROPRIETOR
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
220 Reedy River Ct
Roebuck, SC 29376-3371
Phone: (864) 641-9200
Approximate (ZIP-level) locationGet directions
Mailing address
220 Reedy River Ct
Roebuck, SC 29376-3371
Registry dates
- Enumerated
- 2020-05-08
- Last updated
- 2020-05-08
- Certified
- 2020-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.