Avis Lake
NPI #1427916865 in Mount Nebo, West Virginia
Provider Information
- NPI Number
- 1427916865
- Entity Type
- Individual
- Name
- Avis Lake
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Jan 14, 2026
- Last Updated
- Jan 14, 2026
Practice Location
- Address
- 785 SUMMERSVILLE LAKE RD
- City
- Mount Nebo
- State
- West Virginia
- ZIP Code
- 26679-9203
- Phone
- (304) 883-2334
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