Individual
MICHAEL MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4620 ROUTE 152, LAVALETTE, WV 25535-9702
(304) 563-3611
Mailing address
4620 ROUTE 152, LAVALETTE, WV 25535-9702
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
41991
WV
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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