Individual
MRS. LISA DAWN CONNIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
RT 1 BOX 208, ST. GEORGE, WV 26287
(304) 478-3339
(304) 478-3311
Mailing address
RT 1 BOX 108, BELINGTON, WV 26250
(304) 823-1290
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
615
WV
Other
Enumeration date
07/02/2006
Last updated
01/11/2010
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