Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Dale Lullo, AGACNP

Individual provider Nurse Practitioner · NPI 1245720101

MS. Dale Lullo, AGACNP is a Nurse Practitioner in Orangeburg, South Carolina. Qualified in 2015, 11 years ago. Practices with MUSC Community Physicians, a 1,339-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
11
Licensed in
SC
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone: (843) 431-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22725 Highway 76 E, Clinton, SC 29325-7527 — (864) 833-9100

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 21933 (SC)
Nurse Practitioner Taxonomy 363L00000X · Licence 21933 (SC)

Record details

NPI number1245720101
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedMay 16, 2018
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Musc Community Physicians — 1339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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