# MRS. LUCY KARA SHAMBLIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528208774
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KA0200X | Allergy Physician | 2473 | WV | — |
| 207Q00000X | Family Medicine Physician | 2473 | WV | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 03/01/2009
- **Last updated:** 02/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 003577627 | UHC MPIN | WV |
| 05 | — | 3810024964 | — | WV |
| 01 | — | WV2080H | MEDICARE PTAN | WV |
| 01 | — | WV2180D | MEDICARE PTAN | WV |
| 01 | — | WV2180E | MEDICARE PTAN | WV |
| 01 | — | WV2180F | MEDICARE PTAN | WV |
| 01 | — | WV2180G | MEDICAARE PTAN | WV |