Individual
LAURA JEAN MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1322 MAPLEWOOD AVE STE A, RONCEVERTE, WV 24970-8016
(304) 647-5114
Mailing address
1322 MAPLEWOOD AVE STE A, RONCEVERTE, WV 24970-8016
(304) 647-4411
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D79668
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097510900
—
MD
Enumeration date
03/22/2011
Last updated
09/18/2025
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