Healthcare Provider Details

I. General information

NPI: 1104753920
Provider Name (Legal Business Name): LENAI LAURA LISCHING OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

672 MARINA DR STE 104
CHARLESTON SC
29492-9084
US

IV. Provider business mailing address

4993 OHEAR AVE APT 3302
NORTH CHARLESTON SC
29405-4997
US

V. Phone/Fax

Practice location:
  • Phone: 843-806-3110
  • Fax:
Mailing address:
  • Phone: 630-962-9395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number7923
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: