Individual
LORI PRUNTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(240) 385-2156
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R209562
MD
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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