Organization
INTEGRATED GERIATRIC CARE PLLC
Active
Other names
Lance M McCoy
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE MCCOY M.D. (PRESIDENT)
(304) 428-1114
Entity
Organization
Contact information
Practice address
2801 DUDLEY AVE, SUITE B, PARKERSBURG, WV 26101-2105
(304) 428-1114
(304) 428-1135
Mailing address
2801 DUDLEY AVE, SUITE B, PARKERSBURG, WV 26101-2105
(304) 428-1114
(304) 428-1135
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
19159
WV
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2809090
—
OH
05
—
3810010872
—
WV
Enumeration date
05/16/2006
Last updated
11/18/2009
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