Individual
MRS. LOREN N CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
111 S GROVE ST STE 1, PETERSBURG, WV 26847-1805
(304) 257-2451
Mailing address
111 S GROVE ST STE 1, PETERSBURG, WV 26847-1805
(304) 257-2451
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
01564
WV
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/20/2011
Last updated
02/25/2025
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