Individual
MRS. LORI ANNE CONSTANTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
829 BRIARWOOD STREET, MORGANTOWN, WV 26505
(304) 622-0927
Mailing address
829 BRIARWOOD ST, MORGANTOWN, WV 26505-2607
(304) 598-2214
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
49040
WV
Other
Enumeration date
03/01/2011
Last updated
09/06/2011
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