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Organization
FOUR SEASONS FAMILY PRACTICE
Active
Organization
FOUR SEASONS FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY A LOHUIS MD (PHYSICIAN/OWNER)
(304) 431-7100
Entity
Organization
Contact information
Practice address
904 HARRISON ST, PRINCETON, WV 24740-3011
(304) 431-7100
(304) 431-7112
Mailing address
PO BOX 1050, PRINCETON, WV 24740-1050
(304) 431-7100
(304) 431-7112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16854
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053383000
—
WV
Enumeration date
08/21/2006
Last updated
08/22/2020
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