Individual
LORI L SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
30 MEDICAL PARK, SUITE 219, WHEELING, WV 26003
(304) 243-7160
(304) 243-6372
Mailing address
30 MEDICAL PARK, SUITE 219, WHEELING, WV 26003
(304) 243-7160
(304) 243-6372
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
01083
WV
363A00000X
Physician Assistant
Primary
1083
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081006
—
OH
Enumeration date
10/03/2006
Last updated
05/29/2020
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