# MARY LOU FRAGILE DO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1437184462
- **Authorized official:** DR. MARY LOU FRAGILE DO (DO FAMILY PRACTICE)
- **Authorized official phone:** (304) 647-3331

## Contact information

- **Practice address:** RR 2 BOX 171C, GREYROCK PROF PARK, LEWISBURG, WV 24901
- **Practice address phone:** (304) 647-3331
- **Practice address fax:** (304) 647-9799
- **Mailing address:** PO BOX 1788, LEWISBURG, WV 24901
- **Mailing address phone:** (304) 647-3331
- **Mailing address fax:** (304) 647-9799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2003958000 | — | WV |