Individual
DR. LORAINE L TYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 STADIUM DRIVE, MORGANTOWN, WV 26506
(304) 598-4800
(304) 293-6963
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
09968
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092183000
—
WV
Enumeration date
10/02/2006
Last updated
07/08/2007
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