Individual
LORI A FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
104 MELLON EAST RD, HEDGESVILLE, WV 25427-4171
(304) 258-2458
Mailing address
104 MELLON EAST RD, HEDGESVILLE, WV 25427-4171
(304) 258-2458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
35100
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023817001
—
WA
Enumeration date
03/28/2007
Last updated
07/08/2007
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