LISA A. PROVANCE

MORGANTOWN, WV
NPI1588645378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: WV  115829)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: VA  0024165328)
Enumeration Date2005-11-08
Last Update Date2024-06-08
Business Address
LISA A. PROVANCE NP
PO BOX 897
MORGANTOWN, WV 26507-0897
Phone number: 304-285-7100
Mailing Address
LISA A. PROVANCE NP
PO BOX 897
MORGANTOWN, WV 26507-0897
Phone number: 304-285-7100