Lisa Dougherty

Homemaker · Fairmont, WV

Individual Active NPI

NPI number 1063016475

Practice location

503 Morgantown Ave
Fairmont, WV 26554-4388
Phone
(304) 363-7375
Fax
(304) 363-7376

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NPI record

NPI
1063016475
Entity type
Individual (Type 1)
Enumeration date
November 25, 2020
Last updated
November 25, 2020
Certified
November 25, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Homemaker Primary 376J00000X — —

Mailing address

217 Hecks Run Rd
Fairmont, WV 26554-2277
Phone
(304) 363-6280
Fax
(304) 471-2488

About Lisa Dougherty

Lisa Dougherty is a healthcare provider registered in the NPI registry with the primary taxonomy Homemaker (code 376J00000X). The practice location is 503 Morgantown Ave, Fairmont, WV 26554-4388. The NPI number 1063016475 was assigned on November 25, 2020 and the record was last updated on November 25, 2020.

Frequently asked questions

What is the NPI number of Lisa Dougherty?

The NPI number is 1063016475.

What is the phone number of Lisa Dougherty?

The phone number listed for the practice location is (304) 363-7375.

Where is Lisa Dougherty located?

503 Morgantown Ave, Fairmont, WV 26554-4388.

What is the taxonomy code for Lisa Dougherty?

The primary taxonomy code is 376J00000X – Homemaker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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