Search › West Virginia › 363LA2200X
Lisa Mallory, AGNP-C
NPI 1598223216 · on the registry since 2019
Practice
- Address
- 506 Chestnut St
South Charleston, WV 25309 - Phone
- (304) 766-8558
- Fax
- (304) 766-8561
- Organisation at this address
- Drs Dewitt & Gibson, Pllc
Herbert J Thomas Memorial Hospital AssociationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 333 Laidley St, Charleston, WV
- 6a Bank St, Nitro, WV
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LG0600X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-07
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