Individual
LISA ANN COPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
135 4TH AVE, HUNTINGTON, WV 25701-1219
(304) 525-5691
Mailing address
115 9TH AVE W, HUNTINGTON, WV 25701-2526
(304) 525-5603
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
20442
WV
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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