SearchWest Virginia3747P1801X

Lisa Defazio

NPI 1790444172 · on the registry since 2021

Practice

Address
110 Augustine Ave
Charles Town, WV 25414
Phone
(304) 268-9057

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Sex
Female
Record last updated
2021-12-13

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