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Individual

DR. LISA SUZANNE NOBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
651 COLLIERS WAY, SUITE 301, WEIRTON, WV 26062-5053
(304) 797-6520
(304) 797-6525
Mailing address
PO BOX 2147, WEIRTON, WV 26062-1347
(304) 723-6040
(304) 723-6039

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
1857
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000194000
WV
05
2255456
OH
Enumeration date
04/10/2006
Last updated
12/29/2014
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