Individual
LISA D WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9501
(304) 429-6741
(304) 426-0262
Mailing address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19616
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013508000
—
WV
01
—
001721957
BLUE CROSS BLUE SHIELD
WV
01
—
1045595
DWC
WV
01
—
7545258
AETNA
WV
Enumeration date
08/18/2006
Last updated
06/29/2021
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