Individual
LISA U GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
608 CHEAT RD, MORGANTOWN, WV 26508-4210
(304) 594-1313
Mailing address
608 CHEAT RD, MORGANTOWN, WV 26508-4210
(304) 594-1313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25891
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810027742
—
WV
Enumeration date
05/13/2011
Last updated
12/29/2014
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