Search › West Virginia › 163W00000X
Lisa Shamblin
NPI 1225634736 · on the registry since 2020
Practice
- Address
- 4510 Pennsylvania Ave
Charleston, WV 25302 - Phone
- (304) 965-9081
- Fax
- (304) 471-2488
- Clinicians at this address
- 113
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia