NPI 1083797757

Lori Jane Rainey, PAC

Practitioner Physician Assistant South Charleston, WV

Practice location

Address: 401 Division St STE 306, South Charleston, WV 25309-1455
Phone: (304) 766-4300
Mailing address: 110 Monterey Ln, Cross Lanes, WV 25313-2600

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 00976 (WV)

Other Physician Assistant providers in West Virginia →

Registry record

NPI: 1083797757
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Oct 2006
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.