Search › West Virginia › 1041C0700X
Lisa Perdue, GSW
NPI 1922544097 · on the registry since 2017
Practice
- Address
- 30 Grizzley Ln
Summersville, WV 26651 - Phone
- (304) 574-2905
- Fax
- (304) 469-2981
- Organisation at this address
- New River Health Association, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-11
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