Individual
LAURIE WINCHESTER HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 544-8615
(304) 766-5931
Mailing address
208 FOUNDATION DR, CULLODEN, WV 25510-9052
(304) 544-8615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18586
WV
207R00000X
Internal Medicine Physician
40541
CO
208000000X
Pediatrics Physician
40541
CO
208M00000X
Hospitalist Physician
Primary
18586
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110539000
—
WV
05
—
2029263
—
OH
Enumeration date
04/09/2007
Last updated
06/04/2021
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