Individual
LISA MARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
171 W 2ND ST, WESTON, WV 26452-1665
(304) 269-5738
Mailing address
171 W 2ND ST, WESTON, WV 26452-1665
(304) 269-5738
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
60422
WV
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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