Lori Lea Sutphin

Individual provider Active NPI Personal Care Attendant · Augusta, WV

NPI 1396456901 · NPPES record last updated Dec 6, 2022

Key facts

NPI
1396456901
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
226 Car Wash Lane
Augusta, WV 26704
Phone
(304) 359-3528
NPI assigned
Dec 6, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

226 Car Wash Lane
Augusta, WV 26704

Mailing address

226 Car Wash Lane
Augusta, WV 26704
Phone (304) 359-3528

Other providers in Augusta, WV

All providers in Augusta, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.