LISA QUEEN

HAMLIN, WV
NPI1992925648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WV  49029)
Enumeration Date2007-04-26
Last Update Date2013-10-23
Business Address
-- LISA QUEEN NP
7400 LYNN AVE
HAMLIN, WV 25523-1138
Phone number: 304-824-5806
Mailing Address
-- LISA QUEEN NP
1563 SAND PLANT RD
SOUTH CHARLESTON, WV 25309-6120
Phone number: 304-756-1500