Individual
DR. LAWANNA MARIE STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21 AUCTION LN STE A, BUCKHANNON, WV 26201
(304) 473-2305
Mailing address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2006-00525
NC
208000000X
Pediatrics Physician
Primary
28910
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906849
—
NC
Enumeration date
10/19/2006
Last updated
01/10/2021
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