Organization
LORN A WOLFE
Active
Other names
Mountaineer Family Care Cneter
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA D WOLFE (OFFICE MANAGER)
(304) 265-6963
Entity
Organization
Contact information
Practice address
2287 S MOUNTAINEER HWY, THORNTON, WV 26440-7171
(304) 265-6963
(304) 265-6961
Mailing address
2287 S MOUNTAINEER HWY, THORNTON, WV 26440-7171
(304) 265-6963
(304) 265-6961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001396
—
WV
Enumeration date
10/03/2006
Last updated
12/20/2010
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