Individual
LISA ANN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4329 HUGHES BRANCH RD, HUNTINGTON, WV 25701-9768
(304) 733-1094
Mailing address
407 EAST RD, HUNTINGTON, WV 25704-1136
(304) 962-2381
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61940
WV
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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