Individual
LAUREN MONGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22347 NORTHWESTERN PIKE, ROMNEY, WV 26757-6343
(304) 822-3838
Mailing address
2234 WALNUT BOTTOM RD, FISHER, WV 26818-4067
(304) 348-2005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN79883-NP-C
WV
Other
Enumeration date
08/31/2015
Last updated
09/12/2015
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