Whalio Doctors

NPI 1174508774

Lawrence Matthew Minardi

Practitioner Specialist Charleston, WV

Practice location

Address
500 Donnally St Bldg B North, Charleston, WV 25301-1648
Phone
(304) 343-6219
Fax
(304) 343-1423
Mailing address
500 Donnally St STE 1, Charleston, WV 25301-1600

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 11596 (WV)

Registry record

NPI
1174508774
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Dec 2005
Record last updated
27 Oct 2016

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.