Individual
LEZLIE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
177 KENTWOOD DRIVE, UPPER GLADE, WV 26266-0088
(304) 619-4667
Mailing address
177 KENTWOOD DRIVE, UPPER GLADE, WV 26266-0088
(304) 619-4667
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
105300
WV
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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