Lisa Ann Waugh
Sports Medicine Doctor
1109 Jefferson Rd
S Charleston
, West Virginia 25309-9780
Lisa Ann Waugh
Sports Medicine Doctor
1109 Jefferson Rd
S Charleston
, West Virginia 25309-9780
(304) 610-7888
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Lisa Ann Waugh
- 2939 Shadyside Rd
- St Albans, WV
- Zip : 25177
- Phone : (304) 610-7888
Second Address
- Lisa Ann Waugh
- 1109 Jefferson Rd
- S Charleston, WV
- Zip : 25309-9780
- Phone : (304) 610-7888
Reviews
FAQs
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What type of doctor is Lisa Ann Waugh
In what state does Lisa Ann Waugh practice in?
Where is Lisa Ann Waugh ’s practice located?
What is Lisa Ann Waugh ’s gender?
Is Lisa Ann Waugh a sole practitioner?
Is Lisa Ann Waugh accepting new patients?
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Does Lisa Ann Waugh accept insurance?
Does Lisa Ann Waugh offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 0388 | WV |
National Provider Identifier
| NPI | 1053517011 |
|---|---|
| Provider Name | Lisa Ann Waugh |
| First Address | St Albans, WV 25177 |
| Second Address | S Charleston, WV 25309-9780 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0388 | LICENSE (01) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.