Individual
AUDRA LEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
225 RUSSELL AVE, NEW MARTINSVILLE, WV 26155-1572
(304) 455-2600
Mailing address
225 RUSSELL AVE, NEW MARTINSVILLE, WV 26155-1572
(304) 455-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
103915
WV
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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