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Individual

LORI LYNN ARCHBOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
30 MEDICAL PARK, STE 200, WHEELING, WV 26003-6391
(304) 243-8808
(304) 243-5113
Mailing address
30 MEDICAL PARK, STE 200, WHEELING, WV 26003-6391
(304) 243-8808
(304) 243-5113

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16808
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801644000
WV
Enumeration date
06/23/2005
Last updated
07/08/2007
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