NPI 1013605674
Misty Lane
Practice location
- Address
- 1222 Market St, Parkersburg, WV 26101-4323
- Phone
- (304) 865-5420
- Fax
- (304) 471-2488
- Mailing address
- 114 Sun St, Parkersburg, WV 26101-7602
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1013605674
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 May 2023
- Record last updated
- 1 May 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.