MARY LOU FRAGILE DO NPI 1437184462

NPI Information

  • NPI: 1437184462
  • Provider Name: MARY LOU FRAGILE DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: RR 2 BOX 171C
    GREYROCK PROF PARK
    LEWISBURG, WV
    ZIP 24901
  • Phone: (304) 647-3331

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NPI Details

MARY LOU FRAGILE DO is a family medicine in Lewisburg, WV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MARY LOU FRAGILE DO NPI is 1437184462. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

RR 2 BOX 171C
GREYROCK PROF PARK
LEWISBURG, WV
ZIP 24901
Phone: (304) 647-3331
Fax: (304) 647-9799

The provider's authorized official is Mary Lou Fragile .
The authorized official title is Do Family Practice and has the following contact phone number (304) 647-3331.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12003958000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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