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Individual

LOLA BARRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
110 MORDINGTON AVE, CHARLES TOWN, WV 25414-1693
(304) 267-3595
(304) 267-3599
Mailing address
110 MORDINGTON AVE, CHARLES TOWN, WV 25414-1693
(304) 267-3595
(304) 267-3599

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
57820
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
57820
WV BOARD OF EXAMINERS
WV
Enumeration date
10/09/2017
Last updated
06/16/2018
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