Individual
LUM MATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
699 STRATTON ST, LOGAN, WV 25601-4020
(304) 752-6868
(304) 752-1047
Mailing address
PO BOX 1346, LOGAN, WV 25601-1346
(304) 752-6868
(304) 752-1047
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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