Lisa R Mallory, AGNP-C is an adult health nurse practitioner in South Charleston, WV. Lisa R Mallory, AGNP-C NPI is 1598223216. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
506 CHESTNUT ST
SOUTH CHARLESTON, WV
ZIP 25309-204
Phone: (304) 766-8558
Fax: (304) 766-8561
The NPI 1598223216 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/12/2019 and was last updated on 1/7/2021.