Individual
LORA LEE PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
973 RIPTOE ROAD, LIZEMORE, WV 25125
(304) 632-1229
Mailing address
PO BOX 184, INDORE, WV 25111-0184
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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