Individual
LORI LEE PERSINGER-LOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, OCS
Contact information
Practice address
311 COURTHOUSE RD, SUITE #3, PRINCETON, WV 24740-2421
(304) 425-9857
(304) 487-3152
Mailing address
311 COURTHOUSE RD, SUITE #3, PRINCETON, WV 24740-2421
(304) 425-9857
(304) 487-3152
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000628
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156090000
—
WV
01
—
1405075
UMWA
—
Enumeration date
03/06/2007
Last updated
07/08/2007
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