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Individual

DR. LAUREN O'MALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2342 LAKESIDE ESTS, MORGANTOWN, WV 26508-5623
(304) 692-1615
Mailing address
2342 LAKESIDE ESTS, MORGANTOWN, WV 26508-5623
(304) 692-1615
(304) 598-4871

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25011
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25011
MISSISSIPPI STATE BOARD OF MEDICAL LICENSURE
MS
Enumeration date
05/18/2014
Last updated
05/16/2023
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