Individual
MS. LISA MARIE MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
500 POPLAR ST, SUITE 202, SOUTH CHARLESTON, WV 25309-1474
(304) 346-2121
(304) 346-2176
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
(304) 414-4801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN76097NP
WV
Other
Enumeration date
08/22/2014
Last updated
12/29/2021
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