Individual
LORELI KAY MIKEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 598-1560
Mailing address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 598-1560
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
35176
WV
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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