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Organization

SIDNEY C. LERFALD, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIDNEY C. LERFALD MD (OWNER)
(304) 343-1022
Entity
Organization

Contact information

Practice address
415 MORRIS ST, SUITE 306, CHARLESTON, WV 25301-1842
(304) 343-1022
(304) 720-8286
Mailing address
415 MORRIS ST, SUITE 306, CHARLESTON, WV 25301-1842
(304) 343-1022
(304) 720-8286

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10824
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810012605
WV
Enumeration date
02/20/2008
Last updated
08/05/2008
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