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Lisa Ann Paugh

Technician, Personal Care Attendant in Moundsville, WV. Individual provider (NPI-1).

NPI number1942816632
StatusActive
Last updated in NPPESSep 18, 2020

Details

NPI
1942816632
Entity type
Individual (NPI-1)
Name
Lisa Ann Paugh
Sex
Female
Sole proprietor
No
Enumeration date
Sep 18, 2020
Certification date
Sep 18, 2020
Last updated
Sep 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant–WVYes

Practice location

87 Swierkos Dr
Moundsville, WV 26041-4209

Phone 304-843-0910

Mailing address

701 12th St Trlr 7
Moundsville, WV 26041-2482

Phone 304-843-0910

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