| Doctor Name: | CANDACE LAWER |
| NPI Number: | 1720450901 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 19754 |
| Business Practice Address: | 501 W Butler Ave Saluda, SC - 291381313 |
| Business Phone Number: | 8644452250 |
| Business Fax Number: | 8778702854 |
| Mailing Address: | 135 Allendale Dr, WEST COLUMBIA |
| State: | SC |
| Postal Code: | 291692301 |
| Phone Number: | 8033604991 |
| Fax Number: | 8778702854 |
| NPI Enumeration Date: | 10/27/2015 |
| NPI Last Update Date: | 10/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 19754 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |