Individual
MELISSA LU MIDCAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7421 WETZEL TYLER RIDGE RD, NEW MARTINSVILLE, WV 26155-7403
(304) 904-6211
Mailing address
7421 WETZEL TYLER RIDGE RD, NEW MARTINSVILLE, WV 26155-7403
(304) 904-6211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
69052
WV
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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