Lailah Marie Rice, PA-C

NPI #1609008416 in South Charleston, West Virginia

Provider Information

NPI Number: 1609008416
Entity Type: Individual
Name: Lailah Marie Rice, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 12, 2009
Last Updated: Oct 12, 2017

Practice Location

Address: 4610 KANAWHA AVE SW STE 200
City: South Charleston
State: West Virginia
ZIP Code: 25309-1367
Phone: (304) 205-7992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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