Individual
MRS. LISA MARIE BASYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
17978 STATE RT. 55, BAKER, WV 26801-0097
(304) 897-5915
Mailing address
1900 SPERRY RUN RD, RIO, WV 26755
(304) 897-5933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
345
WV
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
02/25/2025
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