Lauren Mckissick

NPI #1942654066 in Morgantown, West Virginia

Provider Information

NPI Number: 1942654066
Entity Type: Individual
Name: Lauren Mckissick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Apr 14, 2016
Last Updated: Apr 14, 2016

Practice Location

Address: 161 BAKERS RIDGE RD
City: Morgantown
State: West Virginia
ZIP Code: 26508-1459
Phone: (304) 285-0692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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