NPI 1053517011
Lisa Ann Waugh, LMT
Practice location
- Address
- 1109 Jefferson Rd, S Charleston, WV 25309-9780
- Phone
- (304) 610-7888
- Mailing address
- 2939 Shadyside Rd, St Albans, WV 25177
Registered specialties
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
Registry record
- NPI
- 1053517011
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Jun 2007
- Record last updated
- 8 Jul 2007
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.