Individual
LANCE MORGAN MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 DUDLEY AVE, SUITE B, PARKERSBURG, WV 26101-2105
(304) 428-1114
(304) 428-1135
Mailing address
2801 DUDLEY AVE, SUITE B, PARKERSBURG, WV 26101-2105
(304) 428-1114
(304) 428-1135
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
19159
WV
2084P0805X
Geriatric Psychiatry Physician
Primary
19159
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116263002
—
WV
05
—
2031447
—
OH
Enumeration date
06/16/2005
Last updated
11/18/2009
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