# BRANDON M LINGENFELTER DO PHD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255788758
- **Authorized official:** BRANDON MICHAEL LINGENFELTER D.O. (OWNER)
- **Authorized official phone:** (681) 282-5591

## Contact information

- **Practice address:** 411 12TH STREET EXT, PRINCETON, WV 24740-2300
- **Practice address phone:** (681) 282-5591
- **Practice address fax:** (681) 282-5593
- **Mailing address:** 411 12TH STREET EXT, PRINCETON, WV 24740-2300
- **Mailing address phone:** (681) 282-5591
- **Mailing address fax:** (681) 282-5593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 3064 | WV | Yes |

## Other

- **Enumeration date:** 05/16/2016
- **Last updated:** 02/16/2022