Lori Lynn Archbold, MD
Individual provider Active NPI Pediatrics Physician · Wheeling, WV
NPI 1194721183 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194721183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 16808 (WV)
- Practice address
- 30 Medical Park
Ste 200
Wheeling, WV 26003-6391 - Phone
- (304) 243-8808
- Fax
- (304) 243-5113
- NPI assigned
- Jun 23, 2005
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 16808 | WV | Yes |
Addresses
Primary practice location
30 Medical Park
Ste 200
Wheeling, WV 26003-6391
Mailing address
30 Medical Park
Ste 200
Wheeling, WV 26003-6391
Phone (304) 243-8808
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801644000 | Medicaid | WV |
Other providers in Wheeling, WV
- Dawn Ellen Antal
- John Joseph Antal
- Johnette Dawn Aracich
- Peter C Aragones
- Victor Rizal Altavas Arcega
- Sheila M Archer
- Kaitlynn Armstrong
- Natalie Diane Armstrong
- Shellee Jean Armstrong
- Margaret Blaire Arnold
All providers in Wheeling, WV · Pediatrics Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.