MEDICARE: LORI CAROL DOMANICO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	LL97040	SC

General Provider Information

NPI Number	:	1942134853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI CAROL DOMANICO MD

Provider Business Mailing Address
First Line	:	169 ASHLEY AVE
Second Line	:	ROOM 202 MAIN HOSPITAL MSC333
City	:	CHARLESTON
State	:	SC
Zip	:	29425
Country	:	US
Telephone Number	:	843-792-8972
Fax Number	:

Provider Business Practice Location Address
First Line	:	169 ASHLEY AVE
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8905
Country	:	US
Telephone Number	:	843-792-8972
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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