Individual
STORMY LYNN ORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
69 MAZE PLZ, ELIZABETH, WV 26143-5127
(304) 275-5001
Mailing address
69 MAZE PLZ, ELIZABETH, WV 26143-5127
(304) 275-5001
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28077
WV
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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