Family Medical Clinic Of Jane Lew (epsdt)

NPI 1144308040 - Family Medicine - 207Q00000X

NPI Details
NPI 1144308040
Enumeration Date 11/01/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LILLIE LILLIE
Position OFFICE MANAGER
Phone (304) 884-7880
Fax
Practice Location
134 INDUSTRIAL PARK RD
JANE LEW WV, 26378, US
Phone (304) 884-7880
Fax
Business Location
134 INDUSTRIAL PARK RD
JANE LEW WV, 26378, US
Phone (304) 884-7880
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1144308040 NPI Number
 

According to our database, Family Medical Clinic Of Jane Lew (epsdt) NPI is 1144308040, taxonomy code is 207Q00000X Family Medical Clinic Of Jane Lew (epsdt) physically located at 134 Industrial Park Rd, Jane Lew WV, 26378. NPI Number 1033115704 has the healthcare provider type.

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1144308040 NPI number is provided on an as is basis without warranty of any kind. 1144308040 is maintained by the National Plan & Provider Enumeration System. The contents of Family Medical Clinic Of Jane Lew (epsdt) are for informational purposes only.