Lisa Ann Waugh in St Albans - Neuromusculoskeletal Medicine, Sports Medicine
Lisa Ann Waugh - NPI 1053517011
Lisa Ann Waugh is a Neuromusculoskeletal Medicine, Sports Medicine in St Albans, . Lisa Ann Waugh practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Lisa Ann Waugh is 1053517011. The last update date is 2007-07-08.
Lisa Ann Waugh's current location address is 2939 Shadyside Rd, St Albans, . You can contact this provider via phone number 3046107888. The mailing address for Lisa Ann Waugh is 2939 Shadyside Rd, St Albans, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Ann Waugh |
|---|---|
| Address | 2939 Shadyside Rd, St Albans, |
| Phone Number | 3046107888 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1053517011 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2939 Shadyside Rd |
|---|---|
| City | St Albans |
| State | (WV) |
| Post Code | 25177 |
| Phone Number | 3046107888 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|---|
| Taxonomy | 204C00000X |
| Licence No | 388 |
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Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 388 | WV | LICENSE |
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What is the unique 10-digit identification code issued to Lisa Ann Waugh by the Centers for Medicare & Medicaid Services?
The Lisa Ann Waugh has been assigned the NPI (National Provider Identifier) 1053517011 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Lisa Ann Waugh located?
The Lisa Ann Waugh is located at 2939 Shadyside Rd, St Albans, WV 25177.
What is the Lisa Ann Waugh's area of specialization and corresponding taxonomy classification?
The Lisa Ann Waugh's specialty field is Neuromusculoskeletal Medicine, Sports Medicine, and it falls under the taxonomy code 204C00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1053517011 to Lisa Ann Waugh?
The Lisa Ann Waugh received its 1053517011 assignment from the Centers for Medicare & Medicaid Services on 2007-06-26.
When was the information regarding Lisa Ann Waugh, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lisa Ann Waugh, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.