Lisa Edwards
NPI #1710742911 in Fayetteville, West Virginia
Provider Information
- NPI Number
- 1710742911
- Entity Type
- Individual
- Name
- Lisa Edwards
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Feb 16, 2024
- Last Updated
- Feb 16, 2024
Practice Location
- Address
- 5447 MAPLE LN STE A
- City
- Fayetteville
- State
- West Virginia
- ZIP Code
- 25840-6872
- Phone
- (304) 573-6120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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